Individual
KENDRA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
32 UNION SQ E STE 410, NEW YORK, NY 10003-3245
(347) 489-1339
Mailing address
610 E 95TH ST, BROOKLYN, NY 11236-1110
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004801-1
NY
225700000X
Massage Therapist
27020669
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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