Individual provider · Type 1 NPI

Bonnie Taub, LMT

Massage Therapist · Port Jefferson, NY

NPI number 1851481279 Active

Practice location

640 Belle Terre Rd Ste J2
Port Jefferson, NY 11777-1936

Call (631) 476-3903 Map

Mailing address

16 Radford Rd
Lake Grove, NY 11755-2610

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X010745 (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 1851481279

Bonnie Taub, LMT's National Provider Identifier is 1851481279, issued on Oct 14, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.