Individual provider · Type 1 NPI

Diana Marie Basile, LMT

Massage Therapist · Farmingdale, NY

NPI number 1104456342 Active

Practice location

34 Hempstead Tpke
Farmingdale, NY 11735-2034

Call (516) 755-5855 Map

Mailing address

29 Johnson Ct
East Norwich, NY 11732-1301

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X007004 (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 1104456342

Diana Marie Basile, LMT's National Provider Identifier is 1104456342, issued on Jan 15, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmingdale, NY. The record was last updated on Jan 15, 2020.