Individual provider · Type 1 NPI

Tamyka Stout, LMT

Massage Therapist · Valley Stream, NY

NPI number 1235724451 Active

Practice location

1769 Jasen Ave Apt 2
Valley Stream, NY 11580-2430

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018749-01 (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 1235724451

Tamyka Stout, LMT's National Provider Identifier is 1235724451, issued on Mar 9, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Valley Stream, NY. The record was last updated on Mar 9, 2021.