Individual
ELLEN ANNE KOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
51 FOLSOM AVE, HUNTINGTON STATION, NY 11746-1015
(631) 793-4520
Mailing address
51 FOLSOM AVE, HUNTINGTON STATION, NY 11746-1015
(631) 793-4520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015958-01
NY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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