NPI 1063889384

Jean Patrick Elie, MT

Practitioner Massage Therapist Lindenhurst, NY

Practice location

Address: 672 Wellwood Ave Unit 2, Lindenhurst, NY 11757-1677
Phone: (561) 225-2623
Mailing address: 25 Rockwood Ave, Massapequa, NY 11758-4745

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 028512-1 (NY)

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Registry record

NPI: 1063889384
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2015
Record last updated: 24 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.