Maydelin Matos is a Massage Therapist based in Miami, FL. Maydelin Matos practices in Miami, FL. The NPI Number for Maydelin Matos is 1740575968 and holds a License No. MA63613 (Florida).
The current practice location address for Maydelin Matos is 3311 Sw 92Nd Ave, Miami, FL and can be reached out via phone at 786-366-5638.
Location: 3311 Sw 92Nd Ave, Miami, FL, 33165-4125
Provider Profile Details
NPI Number
1740575968
Provider Name
Maydelin Matos
Credential
Provider Entity Type
Individual
Gender
Female
Address
3311 Sw 92Nd Ave, Miami, FL, 33165-4125
Phone Number
786-366-5638
Fax Number
Provider Enumeration Date
06/15/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA63613 | 01 | FL | FLORIDA STATE LICENSE |
Provider Business Practice Location Address Details
Address
3311 Sw 92Nd Ave
City
State
Zip
33165-4125
Phone Number
786-366-5638
Fax Number
Provider Business Mailing Address Details
Address
3311 Sw 92Nd Ave
City
State
Zip
33165-4125
Phone Number
786-366-5638
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA63613 (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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