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Yathyra Portilla, LMT
Massage Therapist in Paramus, New Jersey
NPI 1154708519

Yathyra Portilla is a Massage Therapist based in Paramus, NJ. Yathyra Portilla practices in Paramus, NJ and has the professional credentials of LMT. The NPI Number for Yathyra Portilla is 1154708519 and holds a License No. 18KT00782400 (New Jersey).

The current practice location address for Yathyra Portilla is 205 Robin Rd, Paramus, NJ and can be reached out via phone at 201-225-1511.

Location: 205 Robin Rd, Paramus, NJ, 07652-1449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154708519
Provider Name
Yathyra Portilla
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
205 Robin Rd, Paramus, NJ, 07652-1449
Phone Number
201-225-1511
Fax Number
Provider Enumeration Date
05/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Robin Rd
City
Paramus
State
New Jersey
Zip
07652-1449
Phone Number
201-225-1511
Fax Number
person
Provider Business Mailing Address Details
Address
205 Robin Rd
City
Paramus
State
New Jersey
Zip
07652-1449
Phone Number
201-225-1511
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18KT00782400 (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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