Katherine Ilharregui, LMT
Massage Therapist in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1750933859
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1750933859
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katherine Ilharregui
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2019
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 030298 | NY | Yes |
| 171100000X | Acupuncturist | 007668 | NY |
Practice location
2805 Veterans Memorial Hwy Ste 8Ronkonkoma, NY 11779-7680
Phone 631-738-8440
Mailing address
Po Box 157Bohemia, NY 11716-0157
Phone 631-738-8440
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All 25 Massage Therapist providers in Ronkonkoma · All 866 providers in Ronkonkoma
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