person
Nikita Lyashenko, LMT
Massage Therapist in Tampa, Florida
NPI 1548532906

Nikita Lyashenko is a Massage Therapist based in Tampa, FL. Nikita Lyashenko practices in Tampa, FL and has the professional credentials of LMT. The NPI Number for Nikita Lyashenko is 1548532906 and holds a License No. MA55642 (Florida).

The current practice location address for Nikita Lyashenko is 3619 Henderson Blvd, Tampa, FL and can be reached out via phone at 813-532-7462.

Location: 3619 Henderson Blvd, Tampa, FL, 33609-4501
person
Provider Profile Details
NPI Number
1548532906
Provider Name
Nikita Lyashenko
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3619 Henderson Blvd, Tampa, FL, 33609-4501
Phone Number
813-532-7462
Fax Number
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA55642 01 FL LMT
institution
Provider Business Practice Location Address Details
Address
3619 Henderson Blvd
City
State
Zip
33609-4501
Phone Number
813-532-7462
Fax Number
person
Provider Business Mailing Address Details
Address
3619 Henderson Blvd
City
State
Zip
33609-4501
Phone Number
813-532-7462
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA55642 (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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