Marisa Chadbourne, LMT

NPI #1003213232 in Sayville, New York

Provider Information

NPI Number: 1003213232
Entity Type: Individual
Name: Marisa Chadbourne, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 3, 2014
Last Updated: Jun 29, 2023

Practice Location

Address: 124 MAIN STREET
City: Sayville
State: New York
ZIP Code: 11782-2952
Phone: (631) 403-6013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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