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

Mr. Maxwell Ennist, LMT

Individual provider Massage Therapist · NPI 1215535505

Mr. Maxwell Ennist, LMT is a Massage Therapist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

210 Bedford Park Blvd
Bronx, NY 10467
Phone: (914) 315-9088
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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 0308231 (NY)

Record details

NPI number1215535505
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 9, 2020
Last updated in NPPESOctober 9, 2020
Certification dateSeptember 10, 2020
Mailing address3504 Rochambeau Ave Apt 1j, Bronx, NY 10467-1376

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