Individual provider · Type 1 NPI

Carolyn Marie Cook, MASSAGE THERAPIST

Massage Therapist · Bayport, NY

NPI number 1477293272 Active

Practice location

861 Montauk Hwy
Bayport, NY 11705-1613

Mailing address

199 Bellport Ave
Medford, NY 11763-2219

Other practice locations

  • 199 Bellport Ave, Medford, NY 11763-2219 · (631) 741-0143
  • 41 N Country Rd, Port Jefferson, NY 11777-2160 · (631) 472-1005

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X009231-1 (NY)
Massage Therapist Primary 225700000X009231 (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 1477293272

Carolyn Marie Cook, MASSAGE THERAPIST's National Provider Identifier is 1477293272, issued on Mar 30, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bayport, NY. The record was last updated on Jun 23, 2022.