Provider Demographics
NPI:1235416793
Name:BIASOTTI, DAVID (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BIASOTTI
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:HEALTHFUL
Other - Middle Name:
Other - Last Name:HANDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASSAGE THERAPIST
Mailing Address - Street 1:32 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6018
Mailing Address - Country:US
Mailing Address - Phone:845-224-1036
Mailing Address - Fax:
Practice Address - Street 1:134 SAWKILL RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1208
Practice Address - Country:US
Practice Address - Phone:845-331-6233
Practice Address - Fax:845-331-5121
Is Sole Proprietor?:No
Enumeration Date:2011-11-12
Last Update Date:2011-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025294-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist