National Provider Identifier

Jesus Santos, LMT

Jesus Santos, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Horseheads, NY and a listed phone number of (607) 333-4778.

NPI 1306633151Horseheads, NYMassage Therapist

Profile Overview

NPI
1306633151
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 24, 2025
Last Updated
April 24, 2025

Practice Location

  • 2667 Corning RD
  • Horseheads, NY 14845-4202

Phone: (607) 333-4778

Mailing Address

  • 38 Coleman Ave
  • Elmira, NY 14905-1143

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1306633151
Entity Type
Individual
Last Name
Santos
First Name
Jesus
Name Prefix
Mr.
Credential
LMT
Mailing Street Address
38 Coleman Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1143
Mailing Country
US
Practice Street Address
2667 Corning RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-4202
Practice Country
US
Practice Phone
(607) 333-4778
Enumeration Date
April 24, 2025
Last Updated
April 24, 2025
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
April 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)