NPI 1265964506 · live from the CMS NPI Registry
Shareeda Allen
Massage Therapist in East Setauket, NY. National Provider Identifier 1265964506, active.
NPI record
| NPI | 1265964506 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1386 Route 25a, 1386 Rt 25a, East Setauket, NY 11733 |
| Practice phone | 631-751-2374 |
| Mailing address | 1386 Rt 25a, North Shore Therapeutic Massage And Wellness, East Setauket, NY 11733 |
| Enumerated | March 28, 2017 |
| Last updated | March 30, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 025052 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.