Provider Demographics
NPI:1215571427
Name:ABDEL-MUHTI, KADIRAH (LMT)
Entity Type:Individual
Prefix:
First Name:KADIRAH
Middle Name:
Last Name:ABDEL-MUHTI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 NW 120TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-2638
Mailing Address - Country:US
Mailing Address - Phone:305-457-6814
Mailing Address - Fax:
Practice Address - Street 1:3201 GRIFFIN RD STE 104
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6900
Practice Address - Country:US
Practice Address - Phone:954-488-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA41377225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist