Individual provider · Type 1 NPI

Andrea M. Gordon, LMT, TTT

Massage Therapist · Northport, NY

NPI number 1922762772 Active

Practice location

46 Woodbine Ave Ste 1
Northport, NY 11768-2884

Call (631) 754-7505 Map

Fax (631) 754-7505

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X004010 (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 1922762772

Andrea M. Gordon, LMT, TTT's National Provider Identifier is 1922762772, issued on Oct 27, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Northport, NY. The record was last updated on Feb 12, 2026.