MR. MATTHEW ROGER WEAVER LMT
NPI 1235381807
Massage Therapist in Castleton, NY

Active since October 15, 2008
1523 COLUMBIA TURNPIKE, SERENITY DAY SPA, CASTLETON, NY 12033(518) 479-5680 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Massage Therapist

About MATTHEW WEAVER

This page provides the complete NPI Profile along with additional information for Matthew Weaver, a provider established in Castleton, New York with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1235381807 assigned on October 2008. The practitioner's primary taxonomy code is 225700000X with license number 013854-1 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1235381807 Verify this NPI
Provider Name
MR. MATTHEW ROGER WEAVER LMT
Gender
Male
Entity Type
Individual
Location Address
1523 COLUMBIA TURNPIKE SERENITY DAY SPA CASTLETON, NY 12033
Location Phone
(518) 479-5680
Mailing Address
171 TEAL ROAD SAND LAKE, NY 12153
Mailing Phone
(518) 674-4033
Is Sole Proprietor?
No
Enumeration Date
10-15-2008
Last Update Date
10-15-2008
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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.
013854-1
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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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
1523 COLUMBIA TURNPIKE, SERENITY DAY SPA
CASTLETON, NY 12033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235381807, enumerated as an "individual" on October 15, 2008.

The provider is located at 1523 COLUMBIA TURNPIKE SERENITY DAY SPA CASTLETON, NY 12033 and the phone number is (518) 479-5680.

Massage Therapist with taxonomy code 225700000X.