Josue Isai Rivas, LMT

NPI #1881331015 in Brentwood, New York

Provider Information

NPI Number: 1881331015
Entity Type: Individual
Name: Josue Isai Rivas, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 18, 2022
Last Updated: May 18, 2022

Practice Location

Address: 52 STUDLEY ST
City: Brentwood
State: New York
ZIP Code: 11717
Phone: (516) 725-6837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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