Individual provider · Type 1 NPI
Marisa Chadbourne, LMT
Massage Therapist · Sayville, NY
NPI number
1003213232
Active
Practice location
124 Main Street
Sayville, NY 11782-2952
Mailing address
PO Box 53
Sayville, NY 11782-0053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 021161 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003213232
Marisa Chadbourne, LMT's National Provider Identifier is 1003213232, issued on Dec 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sayville, NY. The record was last updated on Jun 29, 2023.