Elevate Massage & Bodyworks Corp
Massage Therapist in Hauppauge, NY. Organization (NPI-2).
NPI number1649091216
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1649091216
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Massage & Bodyworks Corp
- Organization subpart
- No
- Enumeration date
- Oct 17, 2024
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
527 Townline Rd Ste 200Hauppauge, NY 11788-2833
Phone 631-943-1243
Mailing address
765 Van Buren AveWest Islip, NY 11795-1337
Phone 631-943-1243
Authorized official
Paula Kolano
Licensed Massage Therapist
6319431243
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