Body Mind Spirit Massage Therapy Pllc

NPI #1659114189 in Selden, New York

Provider Information

NPI Number: 1659114189
Entity Type: Organization
Organization Name: Body Mind Spirit Massage Therapy Pllc
Primary Specialty: Massage Therapist
Enumeration Date: Jun 13, 2024
Last Updated: Jun 13, 2024

Practice Location

Address: 395 INDEPENDENCE PLZ STE 220
City: Selden
State: New York
ZIP Code: 11784-2418
Phone: (631) 848-7663

Authorized Official

Name: MR. MICHAEL TENERELLI, LMT, CPT
Title: LICENSED MASSAGE THERAPIST
Phone: (631) 848-7663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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