Individual provider · Type 1 NPI

Corey Smith

Massage Therapist · Mattydale, NY

NPI number 1962055954 Active

Practice location

2605 Brewerton Rd
Mattydale, NY 13211-1147

Call (315) 455-9355 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X031617 (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 1962055954

Corey Smith's National Provider Identifier is 1962055954, issued on Jul 19, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mattydale, NY. The record was last updated on Jul 19, 2019.