Provider Demographics
NPI:1700042645
Name:FLURI, TERRY E (LMT)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:E
Last Name:FLURI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1186
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-0804
Mailing Address - Country:US
Mailing Address - Phone:443-834-4598
Mailing Address - Fax:518-371-2583
Practice Address - Street 1:1733 ROUTE 9
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-2442
Practice Address - Country:US
Practice Address - Phone:518-371-2225
Practice Address - Fax:518-371-2583
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017942225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist