Individual provider · Type 1 NPI

Ilse Lorraine Penaloza

Massage Therapist · Astoria, NY

NPI number 1306457627 Active

Practice location

2230 42nd St Apt 3F
Astoria, NY 11105-1423

Call (347) 731-5683 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X025199 (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 1306457627

Ilse Lorraine Penaloza's National Provider Identifier is 1306457627, issued on Aug 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Astoria, NY. The record was last updated on Aug 11, 2020.