Individual provider · Type 1 NPI

Conan Merrick, L.M.T.

Massage Therapist · Port Jefferson Station, NY

NPI number 1972985950 Active

Practice location

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214

Call (631) 681-5875 Map

Mailing address

144 Gnarled Hollow Rd
East Setauket, NY 11733-1976

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X028169 (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 1972985950

Conan Merrick, L.M.T.'s National Provider Identifier is 1972985950, issued on Jun 25, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 7, 2023.