Individual provider · Type 1 NPI
Bethany Jean Fancher, LMT
Massage Therapist · Long Island City, NY
NPI number
1023668258
Active
Practice location
3408 30th St Apt B45
Long Island City, NY 11106-3008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 11756 (TN) |
| Massage Therapist Primary | 225700000X | 009725 (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 1023668258
Bethany Jean Fancher, LMT's National Provider Identifier is 1023668258, issued on Sep 19, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Island City, NY. The record was last updated on Feb 7, 2021.