Provider Demographics
NPI:1770841058
Name:AT YOUR FINGERTIPS MASSAGE THERAPY P.C.
Entity Type:Organization
Organization Name:AT YOUR FINGERTIPS MASSAGE THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:631-398-4002
Mailing Address - Street 1:91 SOUTHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4923
Mailing Address - Country:US
Mailing Address - Phone:631-398-4002
Mailing Address - Fax:
Practice Address - Street 1:91 SOUTHWOOD CIR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4923
Practice Address - Country:US
Practice Address - Phone:631-398-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016875-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty