Individual
KADE PETRUS MAKAIO KINNEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2131 W 8TH ST, ERIE, PA 16505-4711
(814) 480-0844
Mailing address
38312 FIVE CORNERS RD, CENTERVILLE, PA 16404-5020
(814) 480-0844
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014782
PA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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