Provider Demographics
NPI:1235935289
Name:RELAX RENEW MASSAGE THERAPY P.C.
Entity type:Organization
Organization Name:RELAX RENEW MASSAGE THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-515-8625
Mailing Address - Street 1:24 TREDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3428
Mailing Address - Country:US
Mailing Address - Phone:516-984-2600
Mailing Address - Fax:
Practice Address - Street 1:537 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3544
Practice Address - Country:US
Practice Address - Phone:516-515-8625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty