Individual provider · Type 1 NPI
Carl Bevilacqua Iii
Massage Therapist · Modena, NY
NPI number
1184158735
Active
Practice location
215D Woodcrest Dr Apt 215D
Modena, NY 12548-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 029970 (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 1184158735
Carl Bevilacqua Iii's National Provider Identifier is 1184158735, issued on Apr 19, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Modena, NY. The record was last updated on Apr 19, 2017.