Individual
MR. KENDALL HARTLEY EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCBTMB
Contact information
Practice address
120 DE KRUIF PL, APT. 21E, BRONX, NY 10475-2302
(718) 320-0391
Mailing address
120 DE KRUIF PL, APT. 21E, BRONX, NY 10475-2302
(718) 320-0391
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
019748
NY
225700000X
Massage Therapist
Primary
019748
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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