Virginie Vandevoorde, LMT
Massage Therapist in New York, NY. Individual provider (NPI-1).
NPI number1417561069
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1417561069
- Entity type
- Individual (NPI-1)
- Name
- Virginie Vandevoorde
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 021947-1 | NY | Yes |
| 225700000X | Massage Therapist | MA91557 | FL | |
| 225700000X | Massage Therapist | 77138 | CA |
Practice location
400 Central Park W Apt 5mNew York, NY 10025-5829
Phone 646-418-4889
Mailing address
400 Central Park W Apt 5mNew York, NY 10025-5829
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