MR. MICHAEL DOMENICK TENERELLI LMT NPI 1467112912

NPI Information

  • NPI: 1467112912
  • Provider Name: MR. MICHAEL DOMENICK TENERELLI, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10 CORTEZ LN
    KINGS PARK, NY
    ZIP 11754
  • Phone: (631) 379-3159

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NPI Details

MR. Michael Domenick Tenerelli, LMT is a massage therapist in Kings Park, 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. Michael Domenick Tenerelli, LMT NPI is 1467112912. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 CORTEZ LN
KINGS PARK, NY
ZIP 11754-518
Phone: (631) 379-3159

The enumeration date for this NPI number is 12/26/2021 and was last updated on 12/26/2021.

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 Therapist032715-01NEW 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: 11/21/2025

NPI Synchronization or Removal

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