Gabriela Diaz
Individual provider Active NPI Massage Therapist · Versailles, KY
NPI 1356738652 · NPPES record last updated Apr 24, 2015
Key facts
- NPI
- 1356738652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- BMTMTH00216686 (KY)
- Practice address
- 260 Crossfield Dr
Unit 2
Versailles, KY 40383-1596 - Phone
- (859) 879-0024
- Fax
- (859) 879-1102
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BMTMTH00216686 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Versailles Chiropractic PSC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | BMTMTH00216686 | KY | Yes |
Addresses
Primary practice location
260 Crossfield Dr
Unit 2
Versailles, KY 40383-1596
Mailing address
260 Crossfield Dr
Unit 2
Versailles, KY 40383-1596
Phone (859) 879-0024
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- Deschner Medical Services LLC Deboss Neurology & Pain Clinic
- Ashton Rose Dezeeuw
- Divine Vision Developement Center Inc.
- Petra T Dotson
- Douglas E. Vick, DO M. Tamarin Vick, DO
- Dr Richard Drayer, Optometrist
- Richard Drayer
All providers in Versailles, KY · Massage Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.