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

Individual provider Massage Therapist · NPI 1083128649

Luciano Diaz-Tairovich, LMT is a Massage Therapist in Dover, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2 E Blackwell St Ste 15
Dover, NJ 07801-4645
Phone: (908) 220-0732
Fax: (973) 361-1360
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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 18KT00638600 (NJ)

Record details

NPI number1083128649
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 18, 2017
Last updated in NPPESNovember 18, 2017

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