Organization
IRTA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRTA MASSAGE LMT (OWNER)
(631) 882-2517
Entity
Organization
Contact information
Practice address
1363 VETERANS HWY, HAUPPAUGE, NY 11788-3046
(631) 882-2517
Mailing address
106 W 5TH ST, RONKONKOMA, NY 11779-3843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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