Healthcare Provider Details

I. General information

NPI: 1467370569
Provider Name (Legal Business Name): NUOVO MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44727 THORNDIKE ST
ASHBURN VA
20147-5939
US

IV. Provider business mailing address

44890 TIVERTON SQ
ASHBURN VA
20147-5985
US

V. Phone/Fax

Practice location:
  • Phone: 703-349-5851
  • Fax:
Mailing address:
  • Phone: 703-349-5851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARK GARZONE
Title or Position: OWNER
Credential:
Phone: 703-856-1218