Individual provider · Type 1 NPI

Samuel Kent Axten, LMT

Massage Therapist · Round Lake, NY

NPI number 1992334692 Active

Practice location

2101 Route 9
Round Lake, NY 12151-1711

Mailing address

10 Partridge Gln
Rexford, NY 12148-1344

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X029143 (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 1992334692

Samuel Kent Axten, LMT's National Provider Identifier is 1992334692, issued on Apr 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Round Lake, NY. The record was last updated on Apr 4, 2020.