NPI 1104480649

Maria Maisano, LMT

Practitioner Massage Therapist Richmond, VA

Practice location

Address: 3536 Grove Ave, Richmond, VA 23221-2200
Phone: (804) 673-9355
Fax: (804) 359-8344
Mailing address: 2916 Bywater Dr APT 231, Henrico, VA 23233-6603

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019016894 (VA)

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Registry record

NPI: 1104480649
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.