MEDICARE: YASMINA FIALIP LMBT

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
1	225700000X	Massage Therapist	19898	NC

General Provider Information

NPI Number	:	1326791567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMINA FIALIP LMBT

Provider Business Mailing Address
First Line	:	823 REIGATE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2523
Country	:	US
Telephone Number	:	304-674-9156
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 REIGATE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2523
Country	:	US
Telephone Number	:	304-674-9156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2022
Last Update Date	:	01/28/2022

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