Individual
JILL KATHLEEN COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5470 CAMP RD STE 160, HAMBURG, NY 14075-2756
(716) 432-4196
Mailing address
5470 CAMP RD STE 160, HAMBURG, NY 14075-2756
(716) 432-4196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028721
NY
225700000X
Massage Therapist
033220
NY
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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