Provider Demographics
NPI:1609486372
Name:ARMAS MONTEJO, SUSAN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:ARMAS MONTEJO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PARKVIEW DR APT 924
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2912
Mailing Address - Country:US
Mailing Address - Phone:786-719-4883
Mailing Address - Fax:
Practice Address - Street 1:600 PARKVIEW DR APT 924
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2912
Practice Address - Country:US
Practice Address - Phone:786-719-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA68398225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist