Individual
TANYA MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 PULASKI RD, KINGS PARK, NY 11754-2539
(631) 478-4677
Mailing address
121 PULASKI RD, KINGS PARK, NY 11754-2539
(631) 455-9347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
03/26/2022
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