Joanna Edmonds, LMT

NPI #1720789613 in Deer Park, New York

Provider Information

NPI Number: 1720789613
Entity Type: Individual
Name: Joanna Edmonds, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 16, 2023
Last Updated: Mar 16, 2023

Practice Location

Address: 2056 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-2128
Phone: (631) 940-6095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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