=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770896136
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATIA SALADIN L.M.T.,
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2010
-----------------------------------------------------
Last Update Date | 07/14/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4600 N FEDERAL HWY
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33308-5206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-240-6334
-----------------------------------------------------
Fax | 772-539-0426
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4600 N FEDERAL HWY
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33308-5206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-240-6334
-----------------------------------------------------
Fax | 772-539-0426
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MA-0028579
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------