Provider Demographics
NPI:1033423223
Name:PASCAZI, KATHLEEN MARY (LMT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARY
Last Name:PASCAZI
Suffix:
Gender:F
Credentials:LMT
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Mailing Address - Street 1:415 ROUTE 376 STE 2
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-4015
Mailing Address - Country:US
Mailing Address - Phone:845-223-8577
Mailing Address - Fax:845-223-1970
Practice Address - Street 1:415 ROUTE 376 STE 2
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-4015
Practice Address - Country:US
Practice Address - Phone:845-223-8577
Practice Address - Fax:845-223-1970
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY022973-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist