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Ilia Gerassimov, LMT
Massage Therapist in Little Ferry, New Jersey
NPI 1285211961

Ilia Gerassimov is a Massage Therapist based in Little Ferry, NJ. Ilia Gerassimov practices in Little Ferry, NJ and has the professional credentials of LMT. The NPI Number for Ilia Gerassimov is 1285211961 and holds a License No. 024648 (New Jersey).

The current practice location address for Ilia Gerassimov is 14 Center St, Little Ferry, NJ and can be reached out via phone at 718-506-4515.

Location: 14 Center St, Little Ferry, NJ, 07643-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285211961
Provider Name
Ilia Gerassimov
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
14 Center St, Little Ferry, NJ, 07643-1803
Phone Number
718-506-4515
Fax Number
Provider Enumeration Date
03/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Center St
City
Little Ferry
State
New Jersey
Zip
07643-1803
Phone Number
718-506-4515
Fax Number
person
Provider Business Mailing Address Details
Address
14 Center St
City
Little Ferry
State
New Jersey
Zip
07643-1803
Phone Number
718-506-4515
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
024648 (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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