XI Zhao, MASSAGE & BODYWORK

Individual provider Active NPI Massage Therapist · East Brunswick, NJ

NPI 1720520364 · NPPES record last updated Nov 15, 2016

Key facts

NPI
1720520364
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18KT00001700 (NJ)
Practice address
646 Route 18 Ste 102
East Brunswick, NJ 08816-3722
Phone
(908) 236-9499
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

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
18KT00001700NJMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00001700 NJ Yes

Addresses

Primary practice location

646 Route 18 Ste 102
East Brunswick, NJ 08816-3722

Mailing address

14 Wayside LN
Lebanon, NJ 08833-4354
Phone (908) 392-2292

Other providers in East Brunswick, NJ

All providers in East Brunswick, NJ · Massage Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.