MS. JULIA CORBALLY-CARSON LMT
NPI 1578014338
Massage Therapist in Round Lake, NY
Active since October 17, 2016
About Ms. Julia Corbally-carson Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JULIA CORBALLY-CARSON LMT (NPI 1578014338) is an individual massage therapist in Round Lake, New York, licensed in New York (27028659) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1578014338
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. JULIA CORBALLY-CARSONCredential: LMT
Location Address22 ANDREW AVERound Lake, NY 12151-7713
Mailing AddressP.o. Box 554Round Lake, NY 12151 · (518) 937-3264
Phone(518) 937-3264
Sole ProprietorYes
Enumeration DateOctober 17, 2016
✔ NPI 1578014338 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 · 27028659
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.
22 ANDREW AVE, Round Lake, NY 12151
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578014338, enumerated as an "individual" on October 17, 2016.
The provider is located at 22 ANDREW AVE ROUND LAKE, NY 12151 and the phone number is (518) 937-3264.
Massage Therapist with taxonomy code 225700000X.