Provider Demographics
NPI:1912344037
Name:KNEPPERS, VALENTINA (LMT)
Entity Type:Individual
Prefix:MS
First Name:VALENTINA
Middle Name:
Last Name:KNEPPERS
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 1:1301 RIVER REACH DR
Mailing Address - Street 2:#512
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1135
Mailing Address - Country:US
Mailing Address - Phone:954-525-2489
Mailing Address - Fax:
Practice Address - Street 1:1301 RIVER REACH DR
Practice Address - Street 2:#512
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-1135
Practice Address - Country:US
Practice Address - Phone:954-525-2489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL005304225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist