Individual provider · Type 1 NPI

Michael Joseph Fallon, LMT

Massage Therapist · Coram, NY

NPI number 1831718675 Active

Practice location

292 Brettonwoods Dr
Coram, NY 11727-3686

Call (631) 255-9836 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030786 (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 1831718675

Michael Joseph Fallon, LMT's National Provider Identifier is 1831718675, issued on Apr 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coram, NY. The record was last updated on Apr 12, 2020.