Derry Micale, LMT

NPI #1912319690 in North Syracuse, New York

Provider Information

NPI Number: 1912319690
Entity Type: Individual
Name: Derry Micale, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 29, 2014
Last Updated: May 29, 2014

Practice Location

Address: 5496 E TAFT RD
City: North Syracuse
State: New York
ZIP Code: 13212-3784
Phone: (315) 552-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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