MR. Jason P Kelly, LMT

NPI #1811452378 in North Syracuse, New York

Provider Information

NPI Number: 1811452378
Entity Type: Individual
Name: MR. Jason P Kelly, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 8, 2019
Last Updated: Feb 8, 2019

Practice Location

Address: 709 N MAIN ST
City: North Syracuse
State: New York
ZIP Code: 13212-1669
Phone: (315) 459-4549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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