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MR. PATRICK M FULLER LMT
NPI 1013243310
Massage Therapist in Fayetteville, NY

Active since October 22, 2009
113 SPRING ST # 1, FAYETTEVILLE, NY 13066(315) 380-0556 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Patrick M Fuller Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PATRICK M FULLER LMT (NPI 1013243310) is an individual massage therapist in Fayetteville, New York, licensed in New York (27-019443) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1013243310
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. PATRICK M FULLERCredential: LMT
Location Address113 SPRING ST # 1Fayetteville, NY 13066-2021
Mailing Address113 Spring St # 1Fayetteville, NY 13066-2021 · (315) 380-0556
Phone(315) 380-0556
Sole ProprietorNo
Enumeration DateOctober 22, 2009
Last NPPES UpdateOctober 19, 2011
✔ NPI 1013243310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 27-019443
Definition
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.
113 SPRING ST # 1, Fayetteville, NY 13066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Fuller's NPI number?

The NPI number for Patrick Fuller is 1013243310. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Patrick Fuller located?

Patrick Fuller practices at 113 Spring St # 1, Fayetteville, NY 13066. The listed phone number is (315) 380-0556.

What is Patrick Fuller's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Patrick Fuller was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.