Individual provider · Type 1 NPI

Jean Boucher Hartzell, LMT

Massage Therapist · Port Jefferson, NY

NPI number 1285768820 Active

Practice location

415 E Main St
Port Jefferson, NY 11777-1868

Call (631) 642-1109 Map

Fax (631) 642-1080

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12811 (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 1285768820

Jean Boucher Hartzell, LMT's National Provider Identifier is 1285768820, issued on Mar 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.