Individual provider · Type 1 NPI
Mark Harris, LMT
Massage Therapist · Patchogue, NY
NPI number
1104986496
Active
Practice location
140 N Ocean Ave
Patchogue, NY 11772-2004
Mailing address
82 Chanel Dr E
Shirley, NY 11967-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 019351 (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.
Another provider at this address
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About NPI 1104986496
Mark Harris, LMT's National Provider Identifier is 1104986496, issued on Dec 9, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Patchogue, NY. The record was last updated on Jul 8, 2007.