Healthcare Provider Details
I. General information
NPI: 1932026044
Provider Name (Legal Business Name): KNOT MASSAGE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-5053
US
IV. Provider business mailing address
450 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-5053
US
V. Phone/Fax
- Phone: 917-676-8109
- Fax:
- Phone: 917-676-8109
- Fax: 516-269-8958
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARKISHA
BECKFORD
Title or Position: OWNER
Credential: LMT
Phone: 917-676-8109