Stephanie L Delahunt, LMT, PTA
Massage Therapist in Syracuse, NY. Individual provider (NPI-1).
NPI number1841464823
StatusActive
Last updated in NPPESJan 11, 2009
Details
- NPI
- 1841464823
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie L Delahunt
- Credential
- LMT, PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2008
- Last updated
- Jan 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 009146 | NY | Yes |
| 225200000X | Physical Therapy Assistant | 002396-1 | NY |
Practice location
2105 W Genesee StSyracuse, NY 13219-1656
Phone 315-488-6450
Mailing address
215 Wynnfield DrSyracuse, NY 13219-2924
Phone 315-488-7685
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