Individual provider · Type 1 NPI

Michelle Destefano

Massage Therapist · Commack, NY

NPI number 1003656703 Active

Practice location

340 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4300

Call (631) 776-3019 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X013796 (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 1003656703

Michelle Destefano's National Provider Identifier is 1003656703, issued on May 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Commack, NY. The record was last updated on May 30, 2024.