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Lourdes Godomar, LMT
Massage Therapist in Davie, Florida
NPI 1699216598

Lourdes Godomar is a Massage Therapist based in Davie, FL. Lourdes Godomar practices in Davie, FL and has the professional credentials of LMT. The NPI Number for Lourdes Godomar is 1699216598 and holds a License No. MA41147 (Florida).

The current practice location address for Lourdes Godomar is 4431 Sw 64Th Ave, Davie, FL and can be reached out via phone at 954-316-1476 and via fax at 954-316-1130. You can also correspond with Lourdes Godomar through the mailing address at 4431 SW 64TH AVE, DAVIE, FL - 33314-3458 (mailing address contact number: 954-316-1476).

Location: 4431 Sw 64Th Ave, Davie, FL, 33314-3458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699216598
Provider Name
Lourdes Godomar
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4431 Sw 64Th Ave, Davie, FL, 33314-3458
Phone Number
954-316-1476
Fax Number
954-316-1130
Provider Enumeration Date
03/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4431 Sw 64Th Ave
City
Davie
State
Florida
Zip
33314-3458
Phone Number
954-316-1476
Fax Number
954-316-1130
person
Provider Business Mailing Address Details
Address
4431 Sw 64Th Ave
City
Davie
State
Florida
Zip
33314-3458
Phone Number
954-316-1476
Fax Number
954-316-1130
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA41147 (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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