Port Jefferson Therapeutic Massage P.c. | |
716 Route 112, Port Jeff Sta, NY 11776-1025 | |
(631) 331-7631 | |
Not Available |
Full Name | Port Jefferson Therapeutic Massage P.c. |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 716 Route 112, Port Jeff Sta, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861156036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Port Jefferson Therapeutic Massage P.c. 716 Route 112, Port Jeff Sta, NY 11776-1025 Ph: (631) 331-7631 | Port Jefferson Therapeutic Massage P.c. 716 Route 112, Port Jeff Sta, NY 11776-1025 Ph: (631) 331-7631 |
Leanna Pataki Keating, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Jefferson Blvd, Port Jeff Sta, NY 11776 Phone: 631-741-1240 | |
Jenifer Kirby, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 716 Patchogue Rd, Port Jeff Sta, NY 11776 Phone: 631-331-7631 |