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

Mark Doherty, LAC, LMT

Individual provider Massage Therapist · NPI 1144862822

Mark Doherty, LAC, LMT is a Massage Therapist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

623 Broadway
Massapequa, NY 11758-5027
Phone: (516) 781-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 007088 (NY)
Massage Therapist Taxonomy 225700000X · Licence 030560 (NY)

Record details

NPI number1144862822
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , LMT
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address623 Broadway, Massapequa, NY 11758-5027

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