MR. GREGORY R GROTH LMT
NPI 1659609949
Massage Therapist in Shirley, NY
- Individual
- Male
- Massage Therapist
About GREGORY GROTH
This page provides the complete NPI Profile along with additional information for Gregory Groth, a provider established in Shirley, New York with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1659609949 assigned on November 2009. The practitioner's primary taxonomy code is 225700000X with license number 019137 (NY). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1659609949 Verify this NPI
- Provider Name
- MR. GREGORY R GROTH LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 CORACI BLVD SUITE 5 SHIRLEY, NY 11967
- Location Phone
- (631) 281-0606
- Location Fax
- (631) 281-0990
- Mailing Address
- 63 LONG TREE LN APT 2 MORICHES, NY 11955
- Mailing Phone
- (631) 909-2334
- Mailing Fax
- (631) 281-0990
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-24-2009
- Last Update Date
- 11-24-2009
- 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.
- 019137
- 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 18 providers are registered at the same or a nearby location.
SHIRLEY, NY 11967
SHIRLEY, NY 11967
SHIRLEY, NY 11967
SHIRLEY, NY 11967
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659609949, enumerated as an "individual" on November 24, 2009.
The provider is located at 2 CORACI BLVD SUITE 5 SHIRLEY, NY 11967 and the phone number is (631) 281-0606.
Massage Therapist with taxonomy code 225700000X.
