Individual
KATHLEEN PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, LMT
Contact information
Practice address
210 E MAIN ST, SPRINGVILLE, NY 14141-1442
(716) 560-7315
Mailing address
9568 DARIEN RD, WEST FALLS, NY 14170-9611
(716) 560-7315
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014927-1
NY
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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