MEDICARE: MS. ANTYONETT CHRISTINA SANTANA LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	NVMT.4269	NV

General Provider Information

NPI Number	:	1285244871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANTYONETT CHRISTINA SANTANA LMT

Provider Business Mailing Address
First Line	:	5415 W HARMON AVE UNIT 1047
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-7013
Country	:	US
Telephone Number	:	702-469-0716
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 W HARMON AVE UNIT 1047
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-7013
Country	:	US
Telephone Number	:	702-469-0716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	05/17/2026

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