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

Mr. Patrick M Fuller, LMT

Individual provider Massage Therapist · NPI 1013243310

Mr. Patrick M Fuller, LMT is a Massage Therapist in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

113 Spring St # 1
Fayetteville, NY 13066-2021
Phone: (315) 380-0556
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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 27-019443 (NY)

Record details

NPI number1013243310
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESOctober 19, 2011
Mailing address113 Spring St # 1, Fayetteville, NY 13066-2021

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