NPI 1376141531 · live from the CMS NPI Registry
Michael Angel
Massage Therapist in Woodside, NY. National Provider Identifier 1376141531, active.
NPI record
| NPI | 1376141531 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5125 Queens Blvd, Woodside, NY 11377 |
| Practice phone | 347-659-3932 |
| Mailing address | 5125 Queens Blvd Apt E3, Woodside, NY 11377 |
| Enumerated | October 10, 2020 |
| Last updated | October 10, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 029236 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.