Individual provider · Type 1 NPI

Wanda Lee Wade, LMT, CMLDT

Massage Therapist · Northport, NY

NPI number 1295431773 Active

Practice location

5 Vause St
Northport, NY 11768-2118

Call (631) 327-3324 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X027200-01 (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 1295431773

Wanda Lee Wade, LMT, CMLDT's National Provider Identifier is 1295431773, issued on Feb 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Northport, NY. The record was last updated on Feb 6, 2023.