Individual provider · Type 1 NPI
Petr Lissovskiy, LMT
Massage Therapist · Tuckahoe, NY
NPI number
1043824618
Active
Practice location
50 Columbus Ave Apt F21
Tuckahoe, NY 10707-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031264 (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.
Other massage therapist providers in Tuckahoe
About NPI 1043824618
Petr Lissovskiy, LMT's National Provider Identifier is 1043824618, issued on Sep 1, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tuckahoe, NY. The record was last updated on Sep 1, 2020.