person
Mr. Sergey Sklarov, LMT
Massage Therapist in Fort Lee, New Jersey
NPI 1679506380

Sergey Sklarov is a Massage Therapist based in Fort Lee, NJ. Sergey Sklarov practices in Fort Lee, NJ and has the professional credentials of LMT. The NPI Number for Sergey Sklarov is 1679506380 and holds a License No. 18KT00327300 (New Jersey).

The current practice location address for Sergey Sklarov is 421 Park Pl, Fort Lee, NJ and can be reached out via phone at 201-290-6573.

Location: 421 Park Pl, Fort Lee, NJ, 07024-3735
person
Provider Profile Details
NPI Number
1679506380
Provider Name
Sergey Sklarov
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
421 Park Pl, Fort Lee, NJ, 07024-3735
Phone Number
201-290-6573
Fax Number
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SS1049462 01 NJ ASHN PROVIDER.
P3664355 01 NJ OXFORD CAM PROVIDER
institution
Provider Business Practice Location Address Details
Address
421 Park Pl
City
State
Zip
07024-3735
Phone Number
201-290-6573
Fax Number
person
Provider Business Mailing Address Details
Address
421 Park Pl
City
State
Zip
07024-3735
Phone Number
201-290-6573
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
18KT00327300 (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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