1821142654 NPI number — ANGELA GATICA'S THERAPEUTIC TOUCH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821142654 NPI number — ANGELA GATICA'S THERAPEUTIC TOUCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANGELA GATICA'S THERAPEUTIC TOUCH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821142654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9561 S.W. 218 LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUTLER BAY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-256-9970
Provider Business Mailing Address Fax Number:
305-256-9970

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20547 OLD CUTLER ROAD
Provider Second Line Business Practice Location Address:
#149
Provider Business Practice Location Address City Name:
CUTLER BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-525-1056
Provider Business Practice Location Address Fax Number:
305-256-9970
Provider Enumeration Date:
01/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GATICA
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
MASSAGE THEAPIST
Authorized Official Telephone Number:
78652521056

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MA36491 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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