Provider Demographics
NPI:1083261564
Name:QI THERAPY INC
Entity Type:Organization
Organization Name:QI THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:MAZO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:954-380-2263
Mailing Address - Street 1:2908 NW 80TH AVE
Mailing Address - Street 2:2908
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322
Mailing Address - Country:US
Mailing Address - Phone:954-380-2263
Mailing Address - Fax:
Practice Address - Street 1:2741 EXECUTIVE PARK DR STE 4
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3641
Practice Address - Country:US
Practice Address - Phone:954-380-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty