Individual provider · Type 1 NPI
Elysia Louise Jungin Mahardy, LMT
Massage Therapist · Ridgewood, NY
NPI number
1356217020
Active
Practice location
6853 Fresh Pond Rd
Ridgewood, NY 11385-5263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031993 (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.
2 other providers at this address
Other massage therapist providers in Ridgewood
About NPI 1356217020
Elysia Louise Jungin Mahardy, LMT's National Provider Identifier is 1356217020, issued on Oct 10, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 10, 2025.