MISS Nicole Marie Kennelly, LMT

NPI #1134512114 in Greenport, New York

Provider Information

NPI Number: 1134512114
Entity Type: Individual
Name: MISS Nicole Marie Kennelly, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 14, 2015
Last Updated: Mar 29, 2021

Practice Location

Address: 222 MANOR PL
City: Greenport
State: New York
ZIP Code: 11944-1261
Phone: (631) 268-4769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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