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

Individual provider Massage Therapist · NPI 1326781410

Talata Nessibatou Awoussou Agoudavi, LMT is a Massage Therapist in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

16323 Mathias Ave
Jamaica, NY 11433-3926
Phone: (347) 876-1047
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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 032379-01 (NY)

Record details

NPI number1326781410
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 16, 2022
Last updated in NPPESApril 16, 2022
Certification dateApril 16, 2022

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