Individual provider · Type 1 NPI

Patrick M. Fuller, LMT

Massage Therapist · Fayetteville, NY

NPI number 1013243310 Active

Practice location

113 Spring St # 1
Fayetteville, NY 13066-2021

Call (315) 380-0556 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27-019443 (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 1013243310

Patrick M. Fuller, LMT's National Provider Identifier is 1013243310, issued on Oct 22, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 19, 2011.