THOR ERIC KORNELIUSSEN
NPI 1043718745
Massage Therapist in Holbrook, NY
- Individual
- Male
- Massage Therapist
About THOR KORNELIUSSEN
This page provides the complete NPI Profile along with additional information for Thor Korneliussen, a provider established in Holbrook, New York with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1043718745 assigned on January 2018. The practitioner's primary taxonomy code is 225700000X with license number 030761 (NY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1043718745 Verify this NPI
- Provider Name
- THOR ERIC KORNELIUSSEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 LINCOLN AVE HOLBROOK, NY 11741
- Location Phone
- (631) 405-0333
- Mailing Address
- 2 LINCOLN AVE HOLBROOK, NY 11741
- Mailing Phone
- (631) 405-0333
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-28-2018
- Last Update Date
- 04-05-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 030761
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043718745, enumerated as an "individual" on January 28, 2018.
The provider is located at 2 LINCOLN AVE HOLBROOK, NY 11741 and the phone number is (631) 405-0333.
Massage Therapist with taxonomy code 225700000X.
