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Mr. Gregory R Groth, LMT
Massage Therapist in Shirley, New York
NPI 1659609949

Gregory R Groth is a Massage Therapist based in Moriches, NY. Gregory R Groth practices in Shirley, NY and has the professional credentials of LMT. The NPI Number for Gregory R Groth is 1659609949 and holds a License No. 019137 (New York).

The current practice location address for Gregory R Groth is 2 Coraci Blvd, Shirley, NY and can be reached out via phone at 631-281-0606 and via fax at 631-281-0990.

Location: 2 Coraci Blvd, Shirley, NY, 11955-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659609949
Provider Name
Gregory R Groth
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2 Coraci Blvd, Shirley, NY, 11955-2047
Phone Number
631-281-0606
Fax Number
631-281-0990
Provider Enumeration Date
11/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Coraci Blvd
City
Shirley
State
New York
Zip
11967-4833
Phone Number
631-281-0606
Fax Number
631-281-0990
person
Provider Business Mailing Address Details
Address
2 Coraci Blvd
City
Shirley
State
New York
Zip
11967-4833
Phone Number
631-281-0606
Fax Number
631-281-0990
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
019137 (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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