Individual provider · Type 1 NPI

Julia Corbally-Carson, LMT

Massage Therapist · Round Lake, NY

NPI number 1578014338 Active

Practice location

22 Andrew Ave
Round Lake, NY 12151-7713

Mailing address

P.o. Box 554
Round Lake, NY 12151

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27028659 (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 1578014338

Julia Corbally-Carson, LMT's National Provider Identifier is 1578014338, issued on Oct 17, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Round Lake, NY. The record was last updated on Oct 17, 2016.