Organization
ELEVATE MASSAGE & BODYWORKS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KOLANO LMT, MLD-C (LICENSED MASSAGE THERAPIST)
(631) 943-1243
Entity
Organization
Contact information
Practice address
527 TOWNLINE RD STE 200, HAUPPAUGE, NY 11788-2833
(631) 943-1243
Mailing address
765 VAN BUREN AVE, WEST ISLIP, NY 11795-1337
(631) 943-1243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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