Individual provider · Type 1 NPI
Susan M. Phillips, LMT
Massage Therapist · South Otselic, NY
NPI number
1831464114
Active
Practice location
Deruyter Rd
South Otselic, NY 13155-0241
Fax (315) 653-7848
Mailing address
PO Box 241
South Otselic, NY 13155-0241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 013143 (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.
About NPI 1831464114
Susan M. Phillips, LMT's National Provider Identifier is 1831464114, issued on Mar 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Otselic, NY. The record was last updated on Mar 20, 2012.