Provider Demographics
NPI:1508463837
Name:SZABO, NIKOLETTA KATALIN (LMT)
Entity Type:Individual
Prefix:
First Name:NIKOLETTA
Middle Name:KATALIN
Last Name:SZABO
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 1:3465 NW 44TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4263
Mailing Address - Country:US
Mailing Address - Phone:720-936-1205
Mailing Address - Fax:
Practice Address - Street 1:3465 NW 44TH ST APT 201
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33309-4263
Practice Address - Country:US
Practice Address - Phone:720-936-1205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA81405225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist