Individual
CASEY M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
Mailing address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030262
NY
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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