Individual provider · Type 1 NPI
Vincent Riedel
Massage Therapist · Miller Place, NY
NPI number
1104595776
Active
Practice location
15 Sunwood Drive
Miller Place, NY 11764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 019235 (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 1104595776
Vincent Riedel's National Provider Identifier is 1104595776, issued on Sep 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miller Place, NY. The record was last updated on Sep 8, 2021.