Individual provider · Type 1 NPI
Colleen McMahon
Massage Therapist · Lake Grove, NY
NPI number
1407285281
Active
Practice location
2848 Middle Country Rd
Lake Grove, NY 11755-2104
Fax (631) 285-2124
Mailing address
18 Hamilton Pl
Lake Grove, NY 11755-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 004396 (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.
4 other providers at this address
Other massage therapist providers in Lake Grove
About NPI 1407285281
Colleen McMahon's National Provider Identifier is 1407285281, issued on Nov 2, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Grove, NY. The record was last updated on Nov 2, 2013.