Individual provider · Type 1 NPI

Jay Suherwanto

Massage Therapist · White Plains, NY

NPI number 1376439844 Active

Practice location

225 Fisher Ave
White Plains, NY 10606-2701

Call (415) 728-8505 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X019432 (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 1376439844

Jay Suherwanto's National Provider Identifier is 1376439844, issued on Jun 13, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in White Plains, NY. The record was last updated on Jun 13, 2025.