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Organization

BALANCE FOR LIFE: MIND, BODY & SOUL HEALING

Active
Parent organization
CLOUD 9 MASSAGE THERAPY, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLOUD 9 MASSAGE THERAPY, PC
Authorized official
MS. KATHERINE MONGIELLO LMT (OWNER/ LICENSED MASSAGE THERAPIST)
(631) 736-9999
Entity
Organization

Contact information

Practice address
248 MIDDLE COUNTRY ROAD, SUITE 16B, SEIDEN, NY 11784-2570
(631) 736-9999
Mailing address
248 MIDDLE COUNTRY ROAD, SUITE 16B, SEIDEN, NY 11784-2570
(631) 736-9999

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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