| NPI | 1750620167 |
|---|---|
| Other Name | STACY THORNELL |
| Entity Type | Organization |
| Authorized Contact | STACY M THORNELL President / Massage Therapist 631-983-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 020790-1) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |