Individual
KERRY M. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
53 W MAIN ST, SUITE 2, VICTOR, NY 14564-1106
(585) 507-7883
Mailing address
53 W MAIN ST, SUITE 2, VICTOR, NY 14564-1106
(585) 507-7883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180106GG
PREFERRED CARE
NY
Enumeration date
03/02/2007
Last updated
07/08/2007
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