ELYSE THAYER LMT NPI 1043753064

NPI Information

  • NPI: 1043753064
  • Provider Name: ELYSE THAYER, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 59 E STATE ST
    SHERBURNE, NY
    ZIP 13460
  • Phone: (315) 399-7656

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NPI Details

Elyse Thayer, LMT is a massage therapist in Sherburne, 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. Elyse Thayer, LMT NPI is 1043753064. 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:

59 E STATE ST
SHERBURNE, NY
ZIP 13460-789
Phone: (315) 399-7656

The enumeration date for this NPI number is 11/22/2016 and was last updated on 6/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist27029730NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127029730OTHERNEW YORKMASSAGE LICENSE

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: 3/30/2025

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