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

Damon Fuller

Individual provider Massage Therapist · NPI 1235991969

Damon Fuller is a Massage Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

89 5th Ave Ste 306
New York, NY 10003-3020
Phone: (347) 772-7810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 030137 (NY)

Record details

NPI number1235991969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 28, 2024

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