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

Tae Joen Lim, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1114527025

Tae Joen Lim, MASSAGETHERAPIST is a Massage Therapist in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

215 Hallock Rd Ste 6A
Stony Brook, NY 11790-3077
Phone: (917) 563-1824
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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 027052 (NY)

Record details

NPI number1114527025
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

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