NPI 1427778745 · live from the CMS NPI Registry
Andrew Abbott, LMT
Massage Therapist in Mattydale, NY. National Provider Identifier 1427778745, active.
NPI record
| NPI | 1427778745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2605 Brewerton Rd Rm 5, Mattydale, NY 13211 |
| Practice phone | 315-313-1137 |
| Mailing address | 2605 Brewerton Rd, Mattydale, NY 13211 |
| Enumerated | August 29, 2022 |
| Last updated | August 29, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.