Individual provider · Type 1 NPI

Jodi Tillduster, LMT

Massage Therapist · Coram, NY

NPI number 1184239444 Active

Practice location

914 Skyline Dr
Coram, NY 11727-3666

Call (631) 455-7437 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018156-1 (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 1184239444

Jodi Tillduster, LMT's National Provider Identifier is 1184239444, issued on Sep 14, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coram, NY. The record was last updated on Sep 14, 2020.