Provider Demographics
NPI:1841184090
Name:KB MASSAGE THERAPY P.C.
Entity type:Organization
Organization Name:KB MASSAGE THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:NASTASIA
Authorized Official - Last Name:BAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:516-660-8788
Mailing Address - Street 1:23 HILEEN DR
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-4729
Mailing Address - Country:US
Mailing Address - Phone:516-660-8788
Mailing Address - Fax:631-269-4111
Practice Address - Street 1:58 COMMACK RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3402
Practice Address - Country:US
Practice Address - Phone:516-660-8788
Practice Address - Fax:631-269-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist