Individual provider · Type 1 NPI
Linda Carol Goncalves, LMT
Massage Therapist · Syosset, NY
NPI number
1629548623
Active
Practice location
348 Jericho Tpke
Syosset, NY 11791-4507
Mailing address
478 W Main St
Huntington, NY 11743-3137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9454920 (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 1629548623
Linda Carol Goncalves, LMT's National Provider Identifier is 1629548623, issued on Dec 3, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Syosset, NY. The record was last updated on Dec 3, 2018.