Provider Demographics
NPI:1821142654
Name:ANGELA GATICA'S THERAPEUTIC TOUCH
Entity Type:Organization
Organization Name:ANGELA GATICA'S THERAPEUTIC TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THEAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GATICA
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:7865-252-1056
Mailing Address - Street 1:9561 S.W. 218 LN
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190
Mailing Address - Country:US
Mailing Address - Phone:305-256-9970
Mailing Address - Fax:305-256-9970
Practice Address - Street 1:20547 OLD CUTLER ROAD
Practice Address - Street 2:#149
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189
Practice Address - Country:US
Practice Address - Phone:786-525-1056
Practice Address - Fax:305-256-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA36491174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty