Organization
DEDICATED MASSAGE THERAPY P.C
Active
Other names
Stacy Thornell
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACY M THORNELL (PRESIDENT / MASSAGE THERAPIST)
(631) 983-7799
Entity
Organization
Contact information
Practice address
392 15TH ST, WEST BABYLON, NY 11704-2615
(631) 983-7799
(631) 957-9022
Mailing address
392 15TH ST, WEST BABYLON, NY 11704-2615
(631) 983-7799
(631) 957-9022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020790-1
NY
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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