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Mr. Jason William Bethea SR., LMT
Massage Therapist in New York, New York
NPI 1912500539

Jason William Bethea SR. is a Massage Therapist based in New York, NY. Jason William Bethea SR. practices in New York, NY and has the professional credentials of LMT. The NPI Number for Jason William Bethea SR. is 1912500539 and holds a License No. 032412 (New York).

The current practice location address for Jason William Bethea SR. is 11 Broadway # 433, New York, NY and can be reached out via phone at 646-413-4930.

Location: 11 Broadway # 433, New York, NY, 10004-1303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912500539
Provider Name
Jason William Bethea SR.
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
11 Broadway # 433, New York, NY, 10004-1303
Phone Number
646-413-4930
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Broadway # 433
City
New York
State
New York
Zip
10004-1303
Phone Number
646-413-4930
Fax Number
person
Provider Business Mailing Address Details
Address
11 Broadway # 433
City
New York
State
New York
Zip
10004-1303
Phone Number
646-413-4930
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
032412 (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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