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NPI Code Detail

MEDICARE: KASIMIRA VOGEL LMT

MEDICARE: KASIMIRA VOGEL LMT
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 Therapist33.018790T-ZOH

General Provider Information

NPI Number : 1932411931
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASIMIRA VOGEL LMT
Provider Business Mailing Address
First Line : 1290 GLADYS AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-2510
Country : US
Telephone Number : 216-235-0521
Fax Number :
Provider Business Practice Location Address
First Line : 3310 WARREN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-2031
Country : US
Telephone Number : 216-476-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 07/07/2010

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Directions to “ KASIMIRA VOGEL LMT” Practice Location

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