Kim Siccardi, MT

NPI #1245484054 in Chester, New York

Provider Information

NPI Number: 1245484054
Entity Type: Individual
Name: Kim Siccardi, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 23 FARMERS LN
City: Chester
State: New York
ZIP Code: 10918-1712
Phone: (845) 469-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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