Individual provider · Type 1 NPI
Matthew Roger Weaver, LMT
Massage Therapist · Castleton, NY
NPI number
1235381807
Active
Practice location
1523 Columbia Turnpike, Serenity Day Spa
Castleton, NY 12033-9544
Mailing address
171 Teal Road
Sand Lake, NY 12153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 013854-1 (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.
Another provider at this address
About NPI 1235381807
Matthew Roger Weaver, LMT's National Provider Identifier is 1235381807, issued on Oct 15, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Castleton, NY. The record was last updated on Oct 15, 2008.