Peter Joseph Beutel, LMT

Individual provider Active NPI Massage Therapist · Rocky Point, NY

NPI 1982240511 · NPPES record last updated Nov 19, 2019

Key facts

NPI
1982240511
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
019320-1 (NY)
Practice address
77A RT 25a
Rocky Point, NY 11778-8881
Phone
(631) 849-6363
Fax
(631) 849-6361
NPI assigned
Nov 19, 2019
Sex
Male
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

LicenseStateTypeSpecialty
019320-1NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 019320-1 NY Yes

Addresses

Primary practice location

77A RT 25a
Rocky Point, NY 11778-8881

Mailing address

77A RT 25a
Rocky Point, NY 11778-8881
Phone (631) 849-6363

Other providers in Rocky Point, NY

All providers in Rocky Point, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.