Individual provider · Type 1 NPI

Gum Ju Sim

Massage Therapist · Fresh Meadows, NY

NPI number 1407791882 Active

Practice location

19038A 69th Ave Apt 1A
Fresh Meadows, NY 11365-3714

Call (516) 743-9233 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X022445 (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 1407791882

Gum Ju Sim's National Provider Identifier is 1407791882, issued on Apr 21, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Apr 21, 2026.