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Mrs. Jean Boucher Hartzell, LMT
Massage Therapist in Port Jefferson, New York
NPI 1285768820

Jean Boucher Hartzell is a Massage Therapist based in Port Jefferson, NY. Jean Boucher Hartzell practices in Port Jefferson, NY and has the professional credentials of LMT. The NPI Number for Jean Boucher Hartzell is 1285768820 and holds a License No. 12811 (New York).

The current practice location address for Jean Boucher Hartzell is 415 E Main St, Port Jefferson, NY and can be reached out via phone at 631-642-1109 and via fax at 631-642-1080.

Location: 415 E Main St, Port Jefferson, NY, 11777-1868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285768820
Provider Name
Jean Boucher Hartzell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
415 E Main St, Port Jefferson, NY, 11777-1868
Phone Number
631-642-1109
Fax Number
631-642-1080
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 E Main St
City
Port Jefferson
State
New York
Zip
11777-1868
Phone Number
631-642-1109
Fax Number
631-642-1080
person
Provider Business Mailing Address Details
Address
415 E Main St
City
Port Jefferson
State
New York
Zip
11777-1868
Phone Number
631-642-1109
Fax Number
631-642-1080
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12811 (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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