Individual provider · Type 1 NPI
Nancy Broderick, LMT
Massage Therapist · Park Ridge, NJ
NPI number
1811477995
Active
Practice location
74 Pascack Rd Ste 5
Park Ridge, NJ 07656-1941
Mailing address
22 Montvale Ave
Montvale, NJ 07645-1425
Other practice locations
- 22 Montvale Ave, Montvale, NJ 07645-1425 · (201) 323-1218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT01129500 (NJ) |
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.
Other massage therapist providers in Park Ridge
About NPI 1811477995
Nancy Broderick, LMT's National Provider Identifier is 1811477995, issued on Aug 17, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Park Ridge, NJ. The record was last updated on Aug 17, 2018.