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Sophia Fay Vicos
Massage Therapist in Indialantic, Florida
NPI 1770192064

Sophia Fay Vicos is a Massage Therapist based in Indialantic, FL. Sophia Fay Vicos practices in Indialantic, FL. The NPI Number for Sophia Fay Vicos is 1770192064 and holds a License No. MA81204 (Florida).

The current practice location address for Sophia Fay Vicos is 114 6Th Ave Ste 2, Indialantic, FL and can be reached out via phone at 321-409-8808.

Location: 114 6Th Ave Ste 2, Indialantic, FL, 32903-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770192064
Provider Name
Sophia Fay Vicos
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 6Th Ave Ste 2, Indialantic, FL, 32903-3255
Phone Number
321-409-8808
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 6Th Ave Ste 2
City
Indialantic
State
Florida
Zip
32903-3255
Phone Number
321-409-8808
Fax Number
person
Provider Business Mailing Address Details
Address
114 6Th Ave Ste 2
City
Indialantic
State
Florida
Zip
32903-3255
Phone Number
321-409-8808
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA81204 (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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