Organization
DAVE OLDENHAGE MASSAGE & BODYWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE OLDENHAGE BS, LMT, NCBTMB (OWNER)
(845) 634-8822
Entity
Organization
Contact information
Practice address
180 PHILLIPS HILL RD, BUILDING 1, NEW CITY, NY 10956-4132
(845) 634-8822
(845) 634-8823
Mailing address
180 PHILLIPS HILL RD, BUILDING 1, NEW CITY, NY 10956-4132
(845) 634-8822
(845) 634-8823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022500
NEW YORK STATE MASSAGE THERAPY LICENSE
NY
01
—
6738738
NEW YORK STATE EDUCATION DEPARTMENT REGISTRATION CERTIFICATE
NY
Enumeration date
01/29/2010
Last updated
01/29/2010
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