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NPI 1235406190 · live from the CMS NPI Registry

Elliot Anderson, L.M.T.

Massage Therapist in Newburgh, NY. National Provider Identifier 1235406190, active.

NPI record

NPI1235406190 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1227 Route 300 Ste 1, Newburgh, NY 12550
Practice phone347-567-6060
EnumeratedNovember 21, 2011
Last updatedJuly 12, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X024083 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.