Organization
KNEAD TO HEAL THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE CAROL SIMONETTI LMT (MASSAGE THERAPIST)
(631) 828-5337
Entity
Organization
Contact information
Practice address
8 CAYLA LN, PORT JEFFERSON STATION, NY 11776-4257
(631) 828-5337
Mailing address
8 CAYLA LN, PORT JEFFERSON STATION, NY 11776-4257
(631) 828-5337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013171-1
NY
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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