Individual provider · Type 1 NPI

Aleksey Khomenko, LMT

Massage Therapist · Staten Island, NY

NPI number 1801040431 Active

Practice location

520 Bloomingdale Rd
Staten Island, NY 10309-2061

Mailing address

8 Bur Ct
Manalapan, NJ 07726-1878

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X009802 (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 1801040431

Aleksey Khomenko, LMT's National Provider Identifier is 1801040431, issued on Nov 10, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 10, 2008.