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

Thor Eric Korneliussen

Individual provider Massage Therapist · NPI 1043718745

Thor Eric Korneliussen is a Massage Therapist in Holbrook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

2 Lincoln Ave
Holbrook, NY 11741-2248
Phone: (631) 405-0333
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 030761 (NY)

Record details

NPI number1043718745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2018
Last updated in NPPESApril 5, 2019

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