Individual provider · Type 1 NPI
Elizabeth A. Penrose, LMT
Massage Therapist · Marathon, NY
NPI number
1982170163
Active
Practice location
1098 State Route 221
Marathon, NY 13803-1108
Mailing address
87 W Main St
Dryden, NY 13053-8706
Other practice locations
- 87 W Main St, Dryden, NY 13053-8706 · (607) 844-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031140 (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.
About NPI 1982170163
Elizabeth A. Penrose, LMT's National Provider Identifier is 1982170163, issued on Oct 16, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marathon, NY. The record was last updated on Nov 12, 2019.