Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Vidal, LMT, CNS

Individual provider Massage Therapist · NPI 1992546980

Daniel Vidal, LMT, CNS is a Massage Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

100 W Evergreen Ave
Philadelphia, PA 19118-3814
Phone: (267) 415-6003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MSG012599 (PA)

Record details

NPI number1992546980
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , CNS
Sole proprietorYes
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

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