NPI 1083495659 · live from the CMS NPI Registry
5513 Massage Therapy, PC
Massage Therapist in Massapequa, NY. National Provider Identifier 1083495659, active.
NPI record
| NPI | 1083495659 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5513 Merrick Rd, Massapequa, NY 11758 |
| Practice phone | 516-541-8933 |
| Enumerated | October 10, 2023 |
| Last updated | October 10, 2023 |
| Authorized official | Victoria Dunne, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.