IndividualActive
Adama Maynard, LMT
NPI 1134855752 · Massage Therapist · Massapequa, NY
Provider details
- NPI number
- 1134855752
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 032002 (NY)
Mailing address
623 Broadway
Massapequa, NY 11758-5027
Registry dates
- Enumerated
- 2022-07-26
- Last updated
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.