| 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 |