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

Sam J Donovan, LMT

Individual provider Massage Therapist · NPI 1144113788

Sam J Donovan, LMT is a Massage Therapist in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

225 S Fulton St Ste B
Ithaca, NY 14850-3344
Phone: (607) 288-3866
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 030078 (NY)

Record details

NPI number1144113788
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address225 S Fulton St Ste B, Ithaca, NY 14850-3344

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