Individual provider · Type 1 NPI
Mary Lo, L.M.T.
Massage Therapist · New York, NY
NPI number
1770973547
Active
Practice location
303 5th Ave, Suite 1913
New York, NY 10016-6601
Mailing address
4335 Union St, Apt 4K
Flushing, NY 11355-3047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 012509-1 (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 1770973547
Mary Lo, L.M.T.'s National Provider Identifier is 1770973547, issued on Jan 30, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2015.