NPI 1851914030 · live from the CMS NPI Registry
Peter John Arebalo, LMT
Massage Therapist in Commack, NY. National Provider Identifier 1851914030, active.
NPI record
| NPI | 1851914030 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 639 Commack Rd, Commack, NY 11725 |
| Practice phone | 631-834-0246 |
| Mailing address | 4 Gamecock Ln, Babylon, NY 11702 |
| Enumerated | May 22, 2020 |
| Last updated | May 22, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 012980-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.