Patricia Payne, NYS LMT

NPI #1134633167 in Southold, New York

Provider Information

NPI Number: 1134633167
Entity Type: Individual
Name: Patricia Payne, NYS LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: NYS LMT
Enumeration Date: Nov 29, 2017
Last Updated: Nov 29, 2017

Practice Location

Address: 53345 MAIN RD
Address 2: SUITE 6-1, 6-3
City: Southold
State: New York
ZIP Code: 11971
Phone: (631) 765-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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