Mikaela Hinterberger, L.M.T.
Individual provider Active NPI Massage Therapist · Dryden, NY
NPI 1922575356 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1922575356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 030732 (NY)
- Practice address
- 87 West Main St
Dryden, NY 13035 - Phone
- (607) 844-3304
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Chiropractic & Massage Therapy, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 030732 | NY | Yes |
Addresses
Primary practice location
87 West Main St
Dryden, NY 13035
Mailing address
6 Joseph St.
Cortland, NY 13045
Other providers in Dryden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. 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.