Michelle Gomes, LMT
Massage Therapist in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1780242735
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1780242735
- Entity type
- Individual (NPI-1)
- Name
- Michelle Gomes
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2019
- Certification date
- Sep 20, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 025405-1 | NY | Yes |
Practice location
500 Portion RdRonkonkoma, NY 11779-4587
Phone 631-588-2100
Mailing address
500 Portion Rd Ste 17Ronkonkoma, NY 11779-4587
Phone 347-675-5341
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All 25 Massage Therapist providers in Ronkonkoma · All 866 providers in Ronkonkoma
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