National Provider Identifier
Alexandra Grillo, M.S., LMT
Alexandra Grillo, M.S., LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (908) 642-7232.
Profile Overview
- NPI
- 1891039749
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- November 15, 2012
- Last Updated
- February 08, 2013
Practice Location
- 307 N Tioga St
- Ithaca, NY 14850-4294
Phone: (908) 642-7232
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1891039749
- Entity Type
- Individual
- Last Name
- Grillo
- First Name
- Alexandra
- Credential
- M.S., LMT
- Mailing Street Address
- 307 N Tioga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4294
- Mailing Country
- US
- Practice Street Address
- 307 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4294
- Practice Country
- US
- Practice Phone
- (908) 642-7232
- Enumeration Date
- November 15, 2012
- Last Updated
- February 08, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)