Individual
SARAH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
114 FRANKLIN AVE, SELDEN, NY 11784-1912
(631) 513-9787
(631) 696-1135
Mailing address
114 FRANKLIN AVE, SELDEN, NY 11784-1912
(631) 513-9787
(631) 696-1135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019571-1
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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