Lidice Martinez is a Massage Therapist based in Tampa, FL. Lidice Martinez practices in Tampa, FL. The NPI Number for Lidice Martinez is 1366088569 and holds a License No. MA53483 (Florida).
The current practice location address for Lidice Martinez is 2422 Woody Trace Ln, Tampa, FL and can be reached out via phone at 813-325-0139.
Location: 2422 Woody Trace Ln, Tampa, FL, 33612-7121
Provider Profile Details
NPI Number
1366088569
Provider Name
Lidice Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2422 Woody Trace Ln, Tampa, FL, 33612-7121
Phone Number
813-325-0139
Fax Number
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA53483 | 01 | FL | LICENSED MEDICAL PRACTITIONER |
Provider Business Practice Location Address Details
Address
2422 Woody Trace Ln
City
State
Zip
33612-7121
Phone Number
813-325-0139
Fax Number
Provider Business Mailing Address Details
Address
2422 Woody Trace Ln
City
State
Zip
33612-7121
Phone Number
813-325-0139
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA53483 (Florida)
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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