Kesjana Divjaka, LMT, CDT, MLD-C
Massage Therapist in Little Ferry, New Jersey
1578277935- Practice location
- 269 US Highway 46 Ste 128, Little Ferry, NJ 07643-1438
- Phone
- 551-352-8695
- Fax
- —
- Last updated
- January 11, 2023
Kesjana Divjaka is a Massage Therapist based in Little Ferry, NJ. Kesjana Divjaka practices in Little Ferry, NJ and has the professional credentials of LMT, CDT, MLD-C. The NPI Number for Kesjana Divjaka is 1578277935 and holds a License No. 18KT01388300 (NJ). The current practice location address for Kesjana Divjaka is 269 US Highway 46 Ste 128, Little Ferry, NJ 07643-1438 and can be reached out via phone at 551-352-8695.
Provider Profile Details
- NPI Number
- 1578277935
- Provider Name
- Kesjana Divjaka
- Credential
- LMT, CDT, MLD-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 269 US Highway 46 Ste 128, Little Ferry, NJ 07643-1438
- Phone Number
- 551-352-8695
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 10, 2023
- Last Update Date
- January 11, 2023
- Certification Date
- January 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 269 US Highway 46 Ste 128
Little Ferry, NJ 07643-1438 - City
- Little Ferry
- State
- New Jersey
- Zip
- 07643-1438
- Phone Number
- 551-352-8695
Provider Business Mailing Address Details
- Address
- 278 Main St Apt C2
Little Ferry, NJ 07643-1375 - City
- Little Ferry
- State
- NJ
- Zip
- 07643-1375
- Phone Number
- 551-352-8695
License Information
- License Number
- 18KT01388300
- License State
- NJ
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kesjana Divjaka, LMT, CDT, MLD-C?
The NPI number of Kesjana Divjaka, LMT, CDT, MLD-C is 1578277935. It was assigned on January 10, 2023 and is currently active in the NPPES registry.
What is the specialty of Kesjana Divjaka, LMT, CDT, MLD-C?
Kesjana Divjaka, LMT, CDT, MLD-C is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT01388300.
Where does Kesjana Divjaka, LMT, CDT, MLD-C practice?
The practice location is 269 US Highway 46 Ste 128, Little Ferry, NJ 07643-1438. The office can be reached at 551-352-8695 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578277935 directly on the NPPES registry website.