Individual provider · Type 1 NPI

Thor Eric Korneliussen

Massage Therapist · Holbrook, NY

NPI number 1043718745 Active

Practice location

2 Lincoln Ave
Holbrook, NY 11741-2248

Call (631) 405-0333 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030761 (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 1043718745

Thor Eric Korneliussen's National Provider Identifier is 1043718745, issued on Jan 28, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Holbrook, NY. The record was last updated on Apr 5, 2019.