Daniela Cechmankova, MASSAGE THERAPIST

Individual provider Active NPI Massage Therapist · Great Falls, VA

NPI 1669748448 · NPPES record last updated Mar 27, 2012

Key facts

NPI
1669748448
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0019008838 (VA)
Practice address
766 Walker Rd
Suite E
Great Falls, VA 22066-2652
Phone
(703) 638-4852
NPI assigned
Mar 27, 2012
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

LicenseStateTypeSpecialty
0019008838VAMDMassage Therapist
583585-09VAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 583585-09 VA
Massage Therapist 225700000X 0019008838 VA Yes

Addresses

Primary practice location

766 Walker Rd
Suite E
Great Falls, VA 22066-2652

Mailing address

766 Walker Rd
Suite E
Great Falls, VA 22066-2652
Phone (703) 638-4852

Other identifiers

IdentifierTypeStateIssuer
0019008838OtherBOARD OF NURSING(COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS)
583585-09OtherVANCTMB

Other providers in Great Falls, VA

All providers in Great Falls, VA · Massage Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.