Individual provider · Type 1 NPI
Lisa Karen Gray
Massage Therapist · Patchogue, NY
NPI number
1053082230
Active
Practice location
600 Waverly Ave Unit 2
Patchogue, NY 11772-1529
Mailing address
8 2nd St
Farmingville, NY 11738-2304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 022244 (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 1053082230
Lisa Karen Gray's National Provider Identifier is 1053082230, issued on Sep 27, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Patchogue, NY. The record was last updated on Sep 27, 2021.