Individual provider · Type 1 NPI

John Nelson, LMT

Massage Therapist · Massapequa, NY

NPI number 1336728179 Active

Practice location

5509 Merrick Rd
Massapequa, NY 11758-6215

Fax (516) 541-5034

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X011132 (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 1336728179

John Nelson, LMT's National Provider Identifier is 1336728179, issued on Apr 7, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Massapequa, NY. The record was last updated on Apr 7, 2021.