Individual provider · Type 1 NPI

Devante Quareed Thompson, LMT

Massage Therapist · Rego Park, NY

NPI number 1780285254 Active

Practice location

8944 Metropolitan Ave # 89-44
Rego Park, NY 11374-5331

Mailing address

550 Cauldwell Ave Apt 5B
Bronx, NY 10455-2932

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X031572 (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 1780285254

Devante Quareed Thompson, LMT's National Provider Identifier is 1780285254, issued on Nov 2, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rego Park, NY. The record was last updated on Nov 2, 2020.