NPI 1114682929 · live from the CMS NPI Registry
Angel Eduardo Acosta
Massage Therapist in Winter Haven, FL. National Provider Identifier 1114682929, active.
NPI record
| NPI | 1114682929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 988 Cambridge Dr, Winter Haven, FL 33881 |
| Practice phone | 321-203-9022 |
| Enumerated | November 5, 2021 |
| Last updated | November 5, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA91711 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.