Healthcare Provider Details

I. General information

NPI: 1396670048
Provider Name (Legal Business Name): KATJA GIOVANNA HAUNSCHILD LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14500 NE 18TH AVE
NORTH MIAMI FL
33181-1406
US

IV. Provider business mailing address

14500 NE 18TH AVE
NORTH MIAMI FL
33181-1406
US

V. Phone/Fax

Practice location:
  • Phone: 305-724-4186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number34255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: