Individual provider · Type 1 NPI
Marissa Katherine Wise, LMT
Massage Therapist · Cohocton, NY
NPI number
1447727268
Active
Practice location
28 Maple Ave
Cohocton, NY 14826-9998
Mailing address
3 Park Ave
Cohocton, NY 14826-9401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030654 (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.
About NPI 1447727268
Marissa Katherine Wise, LMT's National Provider Identifier is 1447727268, issued on Oct 30, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cohocton, NY. The record was last updated on Oct 30, 2018.