Individual
AUTUMN KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 34TH ST RM 204, NEW YORK, NY 10001-3011
(212) 600-4808
Mailing address
245 E 25TH ST APT 4C, NEW YORK, NY 10010-3043
(646) 255-6281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027163-1
NY
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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