Individual
KEVIN JAMES WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
75 E MAIN ST, WESTFIELD, NY 14787-1305
(716) 467-1504
Mailing address
21 OAK ST, WESTFIELD, NY 14787-1243
(716) 467-1504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029446-1
NY
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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