MEDICARE: DESSOURCES THERAPEUTIC TOUCH INC

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

General Provider Information

NPI Number	:	1700740198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESSOURCES THERAPEUTIC TOUCH INC

Provider Business Mailing Address
First Line	:	365 NW 129TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-3701
Country	:	US
Telephone Number	:	786-227-0614
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 NW 129TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-3701
Country	:	US
Telephone Number	:	786-227-0614
Fax Number	:

Authorized Official
Title or Position	:	DUAL LICENSED MASSAGE THERAPIST
Name	:	MS. SABINE DESSOURCES
Credential	:	LMT MA#44065
Telephone Number	:	786-227-0614

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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