Paetyn Kristine Mary Greenfield
Individual provider Active NPI Massage Therapist · Moira, NY
NPI 1700430683 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1700430683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 030685 (NY)
- Practice address
- 3 High St
Moira, NY 12957-2215 - Phone
- (518) 317-0433
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030685 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 030685 | NY | Yes |
Addresses
Primary practice location
3 High St
Moira, NY 12957-2215
Mailing address
106 Pike St
Fort Covington, NY 12937-2112
Phone (518) 317-0433
Other providers in Moira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.