Individual provider · Type 1 NPI

Brenda Marie Randolph, LMT

Massage Therapist · Lindenhurst, NY

NPI number 1639949076 Active

Practice location

672 Wellwood Ave Unit 2
Lindenhurst, NY 11757-1677

Call (631) 225-2623 Map

Mailing address

642 Sunrise Hwy Apt A
West Babylon, NY 11704-6023

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X032334 (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 1639949076

Brenda Marie Randolph, LMT's National Provider Identifier is 1639949076, issued on Jan 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lindenhurst, NY. The record was last updated on Jan 8, 2024.