Individual provider · Type 1 NPI
Mariko Kubomi I, LMT
Massage Therapist · Woodside, NY
NPI number
1093397572
Active
Practice location
3770 62nd St Apt 4A
Woodside, NY 11377-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | None listed |
| Massage Therapist Primary | 225700000X | 032430-1 (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 1093397572
Mariko Kubomi I, LMT's National Provider Identifier is 1093397572, issued on Apr 24, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Woodside, NY. The record was last updated on Apr 24, 2021.