Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOR ERIC KORNELIUSSEN
Active Sole ProprietorTHOR ERIC KORNELIUSSEN is a Massage Therapist healthcare provider located in HOLBROOK, New York. NPI 1043718745 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HOLBROOK, NY
Registration Details
- NPI Number
- 1043718745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2018 (8.5466630587927 yrs)
- Last Updated
- Apr 5, 2019
- License
-
030761 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 LINCOLN AVEHOLBROOK, NY, 117412248Browse NY providers · Browse ZIP 11741
- Phone
- 6314050333
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in HOLBROOK, NY
| Name | Credential | NPI |
|---|---|---|
| MS. ANN M WILBERT | MASSAGE THERAPIST | 1295883486 |
| KATHY ANNE RESASCO | LMT | 1801194766 |
| MS. TONI MARIE CAMPIGLIA | LMT | 1386007243 |
| SUSAN WERNER-KERN | — | 1528591872 |
| ANTOINETTA COLON | — | 1235669425 |
| MELISSA BLOM | LMT | 1871013177 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.