Mary Alice Chavez, LMT

NPI #1447552682 in Brentwood, New York

Provider Information

NPI Number: 1447552682
Entity Type: Individual
Name: Mary Alice Chavez, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 19, 2010
Last Updated: May 16, 2022

Practice Location

Address: 26 DEEPDALE DR
City: Brentwood
State: New York
ZIP Code: 11717-1330
Phone: (631) 813-3786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Massage Therapist	225700000X	Primary

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