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Mary Lavelle, LMT
Massage Therapist in Garden City, New York
NPI 1073260014

Mary Lavelle is a Massage Therapist based in Garden City, NY. Mary Lavelle practices in Garden City, NY and has the professional credentials of LMT. The NPI Number for Mary Lavelle is 1073260014 and holds a License No. 019595 (New York).

The current practice location address for Mary Lavelle is 520 Franklin Ave Ste 215, Garden City, NY and can be reached out via phone at 516-987-4826.

Location: 520 Franklin Ave Ste 215, Garden City, NY, 11530-5815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073260014
Provider Name
Mary Lavelle
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
520 Franklin Ave Ste 215, Garden City, NY, 11530-5815
Phone Number
516-987-4826
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019595 01 NY NYS LICENSE MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
520 Franklin Ave Ste 215
City
Garden City
State
New York
Zip
11530-5815
Phone Number
516-987-4826
Fax Number
person
Provider Business Mailing Address Details
Address
520 Franklin Ave Ste 215
City
Garden City
State
New York
Zip
11530-5815
Phone Number
516-987-4826
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
019595 (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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