Individual
MRS. TERESA A ACKERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7259 S BROADWAY, RED HOOK, NY 12571-1618
(845) 758-8861
(845) 758-6617
Mailing address
26 ADAMS RD, RED HOOK, NY 12571-1918
(845) 758-3524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018935
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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