Provider Demographics
NPI:1528747615
Name:MASSAGE FITNESS WORKS AND MORE
Entity type:Organization
Organization Name:MASSAGE FITNESS WORKS AND MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:516-375-0440
Mailing Address - Street 1:4155 VETERANS HWY STE 5
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-6063
Mailing Address - Country:US
Mailing Address - Phone:631-412-4800
Mailing Address - Fax:631-939-2405
Practice Address - Street 1:4155 VETERANS HWY STE 5
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-6063
Practice Address - Country:US
Practice Address - Phone:631-412-4800
Practice Address - Fax:631-939-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty