Individual provider · Type 1 NPI

Keith Dougherty

Massage Therapist · East Setauket, NY

NPI number 1659243475 Active

Practice location

17 Technology Dr
East Setauket, NY 11733-4000

Call (631) 627-1515 Map

Mailing address

248 Smithtown Blvd Ste 5
Nesconset, NY 11767-2420

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X00768 (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 1659243475

Keith Dougherty's National Provider Identifier is 1659243475, issued on Sep 22, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Setauket, NY. The record was last updated on Sep 22, 2025.