Individual provider · Type 1 NPI

Patricia Payne, NYS LMT

Massage Therapist · Southold, NY

NPI number 1134633167 Active

Practice location

53345 Main Rd, Suite 6-1, 6-3
Southold, NY 11971

Fax (631) 765-2100

Mailing address

PO Box 227
Southold, NY 11971-0227

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X009316 (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 1134633167

Patricia Payne, NYS LMT's National Provider Identifier is 1134633167, issued on Nov 29, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southold, NY. The record was last updated on Nov 29, 2017.