Individual
THIERRY MATHELIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8740 FRANCIS LEWIS BLVD APT A63, QUEENS VILLAGE, NY 11427-2844
(718) 749-1275
Mailing address
8740 FRANCIS LEWIS BLVD APT A63, QUEENS VILLAGE, NY 11427-2844
(718) 749-1275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
019437-01
NY
225700000X
Massage Therapist
Primary
01943701
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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