MS. Kristy Genung Dibelka, LMT

NPI #1770755274 in Brockport, New York

Provider Information

NPI Number: 1770755274
Entity Type: Individual
Name: MS. Kristy Genung Dibelka, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 4079 LAKE RD N
City: Brockport
State: New York
ZIP Code: 14420-1517
Phone: (585) 697-4489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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