Individual provider · Type 1 NPI

Nelson Vitale, LMT

Massage Therapist · East Patchogue, NY

NPI number 1851091664 Active

Practice location

65 Lake Dr
East Patchogue, NY 11772-4724

Call (631) 438-0077 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X006314 (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 1851091664

Nelson Vitale, LMT's National Provider Identifier is 1851091664, issued on Mar 9, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Patchogue, NY. The record was last updated on Mar 9, 2023.