National Provider Identifier

Elizabeth Herman, LMT

Elizabeth Herman, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 592-3316.

NPI 1154902278Ithaca, NYMassage Therapist

Profile Overview

NPI
1154902278
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 20, 2021
Last Updated
April 20, 2021

Practice Location

  • 538 W State St
  • Ithaca, NY 14850-5274

Phone: (607) 592-3316

Mailing Address

  • 166 Breed RD
  • Locke, NY 13092-3218

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1154902278
Entity Type
Individual
Last Name
Herman
First Name
Elizabeth
Credential
LMT
Mailing Street Address
166 Breed RD
Mailing City
Locke
Mailing State
NY
Mailing ZIP Code
13092-3218
Mailing Country
US
Mailing Phone
(607) 239-7001
Practice Street Address
538 W State St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5274
Practice Country
US
Practice Phone
(607) 592-3316
Enumeration Date
April 20, 2021
Last Updated
April 20, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)