Corina Tyrrell, LMT
Massage Therapist in Wallkill, NY. Individual provider (NPI-1).
NPI number1205409265
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1205409265
- Entity type
- Individual (NPI-1)
- Name
- Corina Tyrrell
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 18KT01406600 | NJ | Yes |
Practice location
389 Pressler RdWallkill, NY 12589-2755
Phone 925-592-7496
Mailing address
389 Pressler RdWallkill, NY 12589-2755
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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