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MARISA CHADBOURNE LMT NPI 1003213232


NPI Information

NPI: 1003213232
Provider Name: MARISA CHADBOURNE, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
262C MAIN ST
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 403-6013
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Marisa Chadbourne, LMT is a massage therapist in East Setauket, NY. The provider is 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. Marisa Chadbourne, LMT NPI is 1003213232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

262C MAIN ST
EAST SETAUKET, NY
ZIP 11733-952
Phone: (631) 403-6013

The enumeration date for this NPI number is 12/3/2014 and was last updated on 4/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist021161NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.