DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TALATA NESSIBATOU AWOUSSOU AGOUDAVI, LMT

Active Sole Proprietor

TALATA NESSIBATOU AWOUSSOU AGOUDAVI, LMT is a Massage Therapist healthcare provider located in JAMAICA, New York. NPI 1326781410 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · JAMAICA, NY

Registration Details

NPI Number
1326781410
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2022 (4.3703062803861 yrs)
Last Updated
Apr 16, 2022
License
032379-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
16323 MATHIAS AVE
JAMAICA, NY, 114333926
Browse NY providers · Browse ZIP 11433
Phone
3478761047
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in JAMAICA, NY

Name Credential NPI
MRS. STACIE S DIAZ LMT 1215166830
CAMERON RICHARDS LMT 1255665089
MR. OFER ORR LMT 1629309257
JUNETTE A JAMES LMT 1205441607
MS. NICOLE BEAUMONT LMT CMMT 1780352724
JOHN-ANTHONY RODRIGUEZ LMT 1053004382
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.