Provider Demographics
NPI:1457631210
Name:ARROYO, ZAHIRA M (LMT)
Entity Type:Individual
Prefix:
First Name:ZAHIRA
Middle Name:M
Last Name:ARROYO
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 1:12627 SAN JOSE BOULEVARD #504
Mailing Address - Street 2:MASSAGE RENAISSANCE
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-2662
Mailing Address - Country:US
Mailing Address - Phone:904-412-1428
Mailing Address - Fax:
Practice Address - Street 1:12627 SAN JOSE BOULEVARD #504
Practice Address - Street 2:MASSAGE RENAISSANCE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-2662
Practice Address - Country:US
Practice Address - Phone:904-412-1428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48661225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist