Individual provider · Type 1 NPI

Mary Margaret Siano, LMT

Massage Therapist · Port Jefferson Station, NY

NPI number 1447091228 Active

Practice location

1500 Route 112
Port Jefferson Station, NY 11776-8054

Call (631) 343-4184 Map

Mailing address

16 Winston Ln
Port Jefferson Station, NY 11776-3324

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X019457-01 (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 1447091228

Mary Margaret Siano, LMT's National Provider Identifier is 1447091228, issued on Jun 4, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 4, 2024.