Individual
MS. KELLY J WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3083 WILLIAM ST, SUITE 4, CHEEKTOWAGA, NY 14227-1933
(716) 544-0753
(716) 783-8727
Mailing address
3083 WILLIAM STREET, SUITE 4, CHEEKTOWAGA, NY 14227
(716) 544-0753
(716) 783-8727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020632-1
NY
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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