person
Tyler Portelli, LMT
Massage Therapist in Ronkonkoma, New York
NPI 1992389704

Tyler Portelli is a Massage Therapist based in Bethpage, NY. Tyler Portelli practices in Ronkonkoma, NY and has the professional credentials of LMT. The NPI Number for Tyler Portelli is 1992389704 and holds a License No. 029677 (New York).

The current practice location address for Tyler Portelli is 700 Union Pkwy, Ronkonkoma, NY and can be reached out via phone at 516-330-9817.

Location: 700 Union Pkwy, Ronkonkoma, NY, 11714-0019
person
Provider Profile Details
NPI Number
1992389704
Provider Name
Tyler Portelli
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
700 Union Pkwy, Ronkonkoma, NY, 11714-0019
Phone Number
516-330-9817
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Union Pkwy
City
State
Zip
11779-7427
Phone Number
516-330-9817
Fax Number
person
Provider Business Mailing Address Details
Address
700 Union Pkwy
City
State
Zip
11779-7427
Phone Number
516-330-9817
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
029677 (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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