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Wanda Lee Wade, LMT,CMLDT
Massage Therapist in Northport, New York
NPI 1295431773

Wanda Lee Wade is a Massage Therapist based in Northport, NY. Wanda Lee Wade practices in Northport, NY and has the professional credentials of LMT,CMLDT. The NPI Number for Wanda Lee Wade is 1295431773 and holds a License No. 027200-01 (New York).

The current practice location address for Wanda Lee Wade is 5 Vause St, Northport, NY and can be reached out via phone at 631-327-3324.

Location: 5 Vause St, Northport, NY, 11768-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295431773
Provider Name
Wanda Lee Wade
Credential
LMT,CMLDT
Provider Entity Type
Individual
Gender
Female
Address
5 Vause St, Northport, NY, 11768-2118
Phone Number
631-327-3324
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5 Vause St
City
Northport
State
New York
Zip
11768-2118
Phone Number
631-327-3324
Fax Number
person
Provider Business Mailing Address Details
Address
5 Vause St
City
Northport
State
New York
Zip
11768-2118
Phone Number
631-327-3324
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
027200-01 (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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