National Provider Identifier

Thomas Sampson, MASSAGE THERAPIST

Thomas Sampson, MASSAGE THERAPIST is listed in the NPPES registry with a primary specialty of Massage Therapist in Waverly, NY and a listed phone number of (607) 565-3942.

NPI 1710755228Waverly, NYMassage Therapist

Profile Overview

NPI
1710755228
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
December 13, 2023
Last Updated
December 13, 2023

Practice Location

  • 379 Ridge RD
  • Waverly, NY 14892-9718

Phone: (607) 565-3942

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1710755228
Entity Type
Individual
Last Name
Sampson
First Name
Thomas
Credential
MASSAGE THERAPIST
Mailing Street Address
379 Ridge RD
Mailing City
Waverly
Mailing State
NY
Mailing ZIP Code
14892-9718
Mailing Country
US
Mailing Phone
(607) 565-3942
Practice Street Address
379 Ridge RD
Practice City
Waverly
Practice State
NY
Practice ZIP Code
14892-9718
Practice Country
US
Practice Phone
(607) 565-3942
Enumeration Date
December 13, 2023
Last Updated
December 13, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
December 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)