CONAN MERRICK, L.M.T.
Massage Therapist
Active
Individual
NPI: 1972985950
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 028169 (NY) |
Frequently Asked Questions
NPI 1972985950 is the National Provider Identifier for CONAN MERRICK, L.M.T., a Massage Therapist provider located in Port Jefferson Station, NY. This NPI was enumerated on June 25, 2015.
CONAN MERRICK, L.M.T. practices at 1050 HALLOCK AVE, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1972985950
- Type
- Individual
- Enumerated
- Jun 25, 2015
- Last Updated
- Oct 7, 2023
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