NPI 1992334692 · live from the CMS NPI Registry
Samuel Kent Axten, LMT
Massage Therapist in Round Lake, NY. National Provider Identifier 1992334692, active.
NPI record
| NPI | 1992334692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2101 Route 9, Round Lake, NY 12151 |
| Practice phone | 518-669-5462 |
| Mailing address | 10 Partridge Gln, Rexford, NY 12148 |
| Enumerated | April 4, 2020 |
| Last updated | April 4, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 029143 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.