MR. KENNETH RAYMOND GORZEN L.M.T NPI 1174868863

NPI Information

  • NPI: 1174868863
  • Provider Name: MR. KENNETH RAYMOND GORZEN, L.M.T
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 352 LAKE STREET
    SOUTH FALLSBURG, NY
    ZIP 12779
  • Phone: (845) 434-5600

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NPI Details

MR. Kenneth Raymond Gorzen, L.M.T is a massage therapist in South Fallsburg, 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. MR. Kenneth Raymond Gorzen, L.M.T NPI is 1174868863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

352 LAKE STREET
SOUTH FALLSBURG, NY
ZIP 12779-093
Phone: (845) 434-5600

The enumeration date for this NPI number is 12/6/2012 and was last updated on 12/6/2012.

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 Therapist015058NEW 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: 3/30/2025

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