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NPI Code Detail

MEDICARE: CLAUDIA ELENA MORERA MASSAGE THERAPIST

MEDICARE: CLAUDIA ELENA MORERA MASSAGE THERAPIST
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
1225700000XMassage TherapistMA46758FL

General Provider Information

NPI Number : 1265046130
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA ELENA MORERA MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 2241 SW SUSSET LN
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-2334
Country : US
Telephone Number : 786-683-0996
Fax Number :
Provider Business Practice Location Address
First Line : 2241 SW SUSSET LN
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-2334
Country : US
Telephone Number : 786-683-0996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 09/08/2020

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Directions to “ CLAUDIA ELENA MORERA MASSAGE THERAPIST” Practice Location

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