Thurman Collazo
Massage Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1063232155
StatusActive
Last updated in NPPESOct 21, 2024
Details
- NPI
- 1063232155
- Entity type
- Individual (NPI-1)
- Name
- Thurman Collazo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 033687 | NY | Yes |
Practice location
37 Greenpoint Ave Ste 217Brooklyn, NY 11222-1545
Phone 347-844-9177
Mailing address
6561 Saunders St Apt 4eRego Park, NY 11374-4221
Phone 646-373-5635
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