NPI 1962060871 · live from the CMS NPI Registry
Antonina Y Agafonova
Massage Therapist in Washington, DC. National Provider Identifier 1962060871, active.
NPI record
| NPI | 1962060871 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2701 Ontario Rd Nw, Washington, DC 20009 |
| Practice phone | 202-320-0250 |
| Mailing address | 12213 Village Square Ter Apt 102, Rockville, MD 20852 |
| Enumerated | June 5, 2019 |
| Last updated | June 5, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | mt1838 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.