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Luciano Diaz-tairovich, LMT
Massage Therapist in Dover, New Jersey
NPI 1083128649

Luciano Diaz-tairovich is a Massage Therapist based in Dover, NJ. Luciano Diaz-tairovich practices in Dover, NJ and has the professional credentials of LMT. The NPI Number for Luciano Diaz-tairovich is 1083128649 and holds a License No. 18KT00638600 (New Jersey).

The current practice location address for Luciano Diaz-tairovich is 2 E Blackwell St Ste 15, Dover, NJ and can be reached out via phone at 908-220-0732 and via fax at 973-361-1360.

Location: 2 E Blackwell St Ste 15, Dover, NJ, 07801-4645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083128649
Provider Name
Luciano Diaz-tairovich
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2 E Blackwell St Ste 15, Dover, NJ, 07801-4645
Phone Number
908-220-0732
Fax Number
973-361-1360
Provider Enumeration Date
11/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 E Blackwell St Ste 15
City
Dover
State
New Jersey
Zip
07801-4645
Phone Number
908-220-0732
Fax Number
973-361-1360
person
Provider Business Mailing Address Details
Address
2 E Blackwell St Ste 15
City
Dover
State
New Jersey
Zip
07801-4645
Phone Number
908-220-0732
Fax Number
973-361-1360
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18KT00638600 (New Jersey)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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