NPI 1144113788

Sam J Donovan, LMT

Practitioner Massage Therapist Ithaca, NY

Practice location

Address: 225 S Fulton St STE B, Ithaca, NY 14850-3344
Phone: (607) 288-3866

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 030078 (NY)

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Registry record

NPI: 1144113788
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2025
Record last updated: 2 Jun 2025

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.