THOR KORNELIUSSEN
Massage Therapist
Active
Individual
NPI: 1043718745
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 030761 (NY) |
Frequently Asked Questions
NPI 1043718745 is the National Provider Identifier for THOR KORNELIUSSEN, a Massage Therapist provider located in Holbrook, NY. This NPI was enumerated on January 28, 2018.
THOR KORNELIUSSEN practices at 2 LINCOLN AVE, Holbrook, NY 11741.
Quick Facts
- NPI
- 1043718745
- Type
- Individual
- Enumerated
- Jan 28, 2018
- Last Updated
- Apr 5, 2019
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