NPI 1306480405 · live from the CMS NPI Registry
Aubrey Wilson Massage Therapist P.C.
Massage Therapist in Islandia, NY. National Provider Identifier 1306480405, active.
NPI record
| NPI | 1306480405 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1717 Veterans Hwy, Islandia, NY 11749 |
| Practice phone | 631-203-4300 |
| Mailing address | 126 Inlet Dr, Lindenhurst, NY 11757 |
| Enumerated | October 31, 2019 |
| Last updated | October 31, 2019 |
| Authorized official | Aubrey Wilson, 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.