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Thor Eric Korneliussen
Massage Therapist in Holbrook, New York
NPI 1043718745

Thor Eric Korneliussen is a Massage Therapist based in Holbrook, NY. Thor Eric Korneliussen practices in Holbrook, NY. The NPI Number for Thor Eric Korneliussen is 1043718745 and holds a License No. 030761 (New York).

The current practice location address for Thor Eric Korneliussen is 2 Lincoln Ave, Holbrook, NY and can be reached out via phone at 631-405-0333.

Location: 2 Lincoln Ave, Holbrook, NY, 11741-2248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043718745
Provider Name
Thor Eric Korneliussen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Lincoln Ave, Holbrook, NY, 11741-2248
Phone Number
631-405-0333
Fax Number
Provider Enumeration Date
01/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Lincoln Ave
City
Holbrook
State
New York
Zip
11741-2248
Phone Number
631-405-0333
Fax Number
person
Provider Business Mailing Address Details
Address
2 Lincoln Ave
City
Holbrook
State
New York
Zip
11741-2248
Phone Number
631-405-0333
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030761 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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