David Niyazov, L.M.T.
Massage Therapist in Coral Springs, FL. Individual provider (NPI-1).
NPI number1861692758
StatusActive
Last updated in NPPESJun 1, 2011
Details
- NPI
- 1861692758
- Entity type
- Individual (NPI-1)
- Name
- David Niyazov
- Credential
- L.M.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Last updated
- Jun 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 29165 | FL | Yes |
Practice location
4621 N University DrCoral Springs, FL 33067-4602
Phone 954-840-6680
Mailing address
4621 N University DrCoral Springs, FL 33067-4602
Phone 954-840-6680
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