Individual
JENIFER KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
716 PATCHOGUE RD, PORT JEFF STA, NY 11776-1025
(631) 331-7631
Mailing address
716 PATCHOGUE RD, PORT JEFF STA, NY 11776-1025
(631) 331-7631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009133-1
NY
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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