National Provider Identifier
Matthew Sirvent, LMT
Matthew Sirvent, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 220-4926.
Profile Overview
- NPI
- 1255062550
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- June 19, 2022
- Last Updated
- June 19, 2022
Practice Location
- 96 Village Cir Apt 1
- Ithaca, NY 14850-8578
Phone: (607) 220-4926
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1255062550
- Entity Type
- Individual
- Last Name
- Sirvent
- First Name
- Matthew
- Name Prefix
- Mr.
- Credential
- LMT
- Mailing Street Address
- 96 Village Cir Apt 1
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8578
- Mailing Country
- US
- Practice Street Address
- 96 Village Cir Apt 1
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-8578
- Practice Country
- US
- Practice Phone
- (607) 220-4926
- Enumeration Date
- June 19, 2022
- Last Updated
- June 19, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- June 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)