Individual provider · Type 1 NPI
Rene Green, LMT
Massage Therapist · Heuvelton, NY
NPI number
1124990007
Active
Practice location
42 State St # 1
Heuvelton, NY 13654-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 032292-01 (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.
About NPI 1124990007
Rene Green, LMT's National Provider Identifier is 1124990007, issued on Sep 22, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Heuvelton, NY. The record was last updated on Sep 22, 2025.