Irta Massage
Massage Therapist in Hauppauge, NY. Organization (NPI-2).
NPI number1093516809
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1093516809
- Entity type
- Organization (NPI-2)
- Legal business name
- Irta Massage
- Organization subpart
- No
- Enumeration date
- Mar 19, 2025
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1363 Veterans HwyHauppauge, NY 11788-3046
Phone 631-882-2517
Mailing address
106 W 5th StRonkonkoma, NY 11779-3843
Authorized official
Irta Massage
Owner
6318822517
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