Individual provider · Type 1 NPI
Denise Alexandra Gervais, LMT
Massage Therapist · Patchogue, NY
NPI number
1215640123
Active
Practice location
258 N Ocean Ave
Patchogue, NY 11772-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 013043 (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 1215640123
Denise Alexandra Gervais, LMT's National Provider Identifier is 1215640123, issued on Jan 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Patchogue, NY. The record was last updated on Jan 5, 2023.