Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL KENT AXTEN, LMT
Active Sole ProprietorSAMUEL KENT AXTEN, LMT is a Massage Therapist healthcare provider located in ROUND LAKE, New York. NPI 1992334692 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ROUND LAKE, NY
Registration Details
- NPI Number
- 1992334692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2020 (6.4005407266026 yrs)
- Last Updated
- Apr 4, 2020
- License
-
029143 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 ROUTE 9ROUND LAKE, NY, 121511711Browse NY providers · Browse ZIP 12151
- Phone
- 5186695462
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in ROUND LAKE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. JULIA CORBALLY-CARSON | LMT | 1578014338 |
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.