Individual provider · NPI-1
Colin Demick, Massage Therapist
Massage Therapist · Albany, NY
NPI number1013799725
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1013799725
- Entity type
- Individual (NPI-1)
- Name
- Colin Demick
- Credential
- Massage Therapist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2023
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 028312-1 | NY | Yes |
Practice location
98 Wolf Rd Ste 15Albany, NY 12205-1226
Phone 518-941-9550
Mailing address
308 Thornberry LnRensselaer, NY 12144-8454
Phone 518-421-7370
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