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Petr Lissovskiy, LMT
Massage Therapist in Tuckahoe, New York
NPI 1043824618

Petr Lissovskiy is a Massage Therapist based in Tuckahoe, NY. Petr Lissovskiy practices in Tuckahoe, NY and has the professional credentials of LMT. The NPI Number for Petr Lissovskiy is 1043824618 and holds a License No. 031264 (New York).

The current practice location address for Petr Lissovskiy is 50 Columbus Ave Apt F21, Tuckahoe, NY and can be reached out via phone at 914-573-9211.

Location: 50 Columbus Ave Apt F21, Tuckahoe, NY, 10707-2545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043824618
Provider Name
Petr Lissovskiy
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
50 Columbus Ave Apt F21, Tuckahoe, NY, 10707-2545
Phone Number
914-573-9211
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 Columbus Ave Apt F21
City
Tuckahoe
State
New York
Zip
10707-2545
Phone Number
914-573-9211
Fax Number
person
Provider Business Mailing Address Details
Address
50 Columbus Ave Apt F21
City
Tuckahoe
State
New York
Zip
10707-2545
Phone Number
914-573-9211
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
031264 (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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