Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aleksandr Degtyarev, LMT

Individual provider Massage Therapist · NPI 1619651387

Aleksandr Degtyarev, LMT is a Massage Therapist in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

318 Wynn Ln
Port Jefferson, NY 11777-1670
Phone: (917) 224-0464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 032816 (NY)

Record details

NPI number1619651387
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address81 Westchester Dr, Rocky Point, NY 11778-8875

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