MR. Matthew Roger Weaver, LMT

NPI #1235381807 in Castleton, New York

Provider Information

NPI Number
1235381807
Entity Type
Individual
Name
MR. Matthew Roger Weaver, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 15, 2008
Last Updated
Oct 15, 2008

Practice Location

Address
1523 COLUMBIA TURNPIKE
Address 2
SERENITY DAY SPA
ZIP Code
12033-9544
Phone
(518) 479-5680

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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