Functional Massage Therapy PC

NPI #1609261593 in Holtsville, New York

Provider Information

NPI Number: 1609261593
Entity Type: Organization
Organization Name: Functional Massage Therapy PC
Primary Specialty: Massage Therapist
Enumeration Date: Mar 30, 2015
Last Updated: Mar 30, 2015

Practice Location

Address: 755 WAVERLY AVE
Address 2: SUITE #206
City: Holtsville
State: New York
ZIP Code: 11742-1190
Phone: (631) 730-8300

Authorized Official

Name: SHERRY COLE
Title: DIRECTOR/LICENSED MASSAGE THERAPIST
Phone: (631) 730-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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