Kerry Speidell, LMT 023361-1

NPI #1184270530 in Nesconset, New York

Provider Information

NPI Number: 1184270530
Entity Type: Individual
Name: Kerry Speidell, LMT 023361-1
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT 023361-1
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 26 SHENANDOAH BLVD
City: Nesconset
State: New York
ZIP Code: 11767-2319
Phone: (607) 778-0887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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