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PORT JEFFERSON THERAPEUTIC MASSAGE P.C. NPI 1861156036


NPI Information

NPI: 1861156036
Provider Name: PORT JEFFERSON THERAPEUTIC MASSAGE P.C.
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
716 ROUTE 112
PORT JEFF STA, NY
ZIP 11776
Phone: (631) 331-7631
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PORT JEFFERSON THERAPEUTIC MASSAGE P.C. is a massage therapist in Port Jeff Sta, NY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. PORT JEFFERSON THERAPEUTIC MASSAGE P.C. NPI is 1861156036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

716 ROUTE 112
PORT JEFF STA, NY
ZIP 11776-025
Phone: (631) 331-7631

The provider's authorized official is Jenifer Kirby .
The authorized official title is Owner and has the following contact phone number (631) 331-7631.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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