Healthcare Provider Details

I. General information

NPI: 1669354734
Provider Name (Legal Business Name): THERAPEUTIC TOUCH THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 SEDGEWYCK CIR W
DAVIE FL
33331-3456
US

IV. Provider business mailing address

6211 SEDGEWYCK CIR W
DAVIE FL
33331-3456
US

V. Phone/Fax

Practice location:
  • Phone: 954-707-9178
  • Fax:
Mailing address:
  • Phone: 954-707-9178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KIANA AMABEL RODRIGUEZ
Title or Position: OWNER
Credential: OTR/L
Phone: 954-707-9178