Individual
KELLY F SHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3450 WINTON PL, SUITE 4, ROCHESTER, NY 14623-2805
(585) 794-0168
Mailing address
3450 WINTON PL, SUITE 4, ROCHESTER, NY 14623-2805
(585) 794-0168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019562-1
NY
Other
Enumeration date
07/24/2008
Last updated
05/11/2011
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