Individual provider · Type 1 NPI

Mary Alice Chavez, LMT

Specialist · Brentwood, NY

NPI number 1447552682 Active

Practice location

26 Deepdale Dr
Brentwood, NY 11717-1330

Call (631) 813-3786 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X023083-1 (NY)
Massage Therapist 225700000X023083-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1447552682

Mary Alice Chavez, LMT's National Provider Identifier is 1447552682, issued on Nov 19, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brentwood, NY. The record was last updated on Apr 9, 2026.