MR. MATTHEW ROGER WEAVER LMT NPI 1235381807

NPI Information

NPI: 1235381807
Provider Name: MR. MATTHEW ROGER WEAVER, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1523 COLUMBIA TURNPIKE
SERENITY DAY SPA
CASTLETON, NY
ZIP 12033
Phone: (518) 479-5680
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MR. Matthew Roger Weaver, LMT is a massage therapist in Castleton, 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. Matthew Roger Weaver, LMT NPI is 1235381807. 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:

1523 COLUMBIA TURNPIKE
SERENITY DAY SPA
CASTLETON, NY
ZIP 12033-544
Phone: (518) 479-5680

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.

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
1	225700000X	Massage Therapist		013854-1	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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