Myrthasha Nelson, LMT

NPI #1265148530 in Ronkonkoma, New York

Provider Information

NPI Number: 1265148530
Entity Type: Individual
Name: Myrthasha Nelson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 30, 2023
Last Updated: Apr 27, 2023

Practice Location

Address: 4155 VETERANS MEMORIAL HWY STE 5
City: Ronkonkoma
State: New York
ZIP Code: 11779-6063
Phone: (631) 412-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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