Tanya Rivera
Individual provider Active NPI Massage Therapist · Secane, PA
NPI 1366059867 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1366059867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG012737 (PA)
- Practice address
- 333 North Ave Apt 26a
Secane, PA 19018-3554 - Phone
- (215) 370-6971
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MSG012737 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG012737 | PA | Yes |
| Massage Therapist | 225700000X | PA |
Addresses
Primary practice location
333 North Ave Apt 26a
Secane, PA 19018-3554
Mailing address
333 North Ave Apt 26a
Secane, PA 19018-3554
Phone (215) 370-6971
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All providers in Secane, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. 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.