Individual
MRS. KELLY CHRISTINE NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
149 COMMACK ROAD, SUITE 2, COMMACK, NY 11725
(631) 617-1699
Mailing address
6 LAUREL ROAD, LINDENHURST, NY 11757
(631) 617-1699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025542
NY
Other
Enumeration date
01/24/2012
Last updated
01/05/2016
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