Individual provider · Type 1 NPI

Tyler Portelli, LMT

Massage Therapist · Ronkonkoma, NY

NPI number 1992389704 Active

Practice location

700 Union Pkwy
Ronkonkoma, NY 11779-7427

Call (516) 330-9817 Map

Mailing address

PO Box 997
Bethpage, NY 11714-0019

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X029677 (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 1992389704

Tyler Portelli, LMT's National Provider Identifier is 1992389704, issued on May 7, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ronkonkoma, NY. The record was last updated on May 7, 2021.