Individual
KELLIE SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2355 ROUTE 145, EAST DURHAM, NY 12423-1620
(518) 634-2494
(518) 634-2494
Mailing address
2355 ROUTE 145, P.O. BOX 70, EAST DURHAM, NY 12423-1620
(518) 634-2494
(518) 634-2494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621399
LICENSED MASSAGE THERAPIS
NY
Enumeration date
03/28/2007
Last updated
07/08/2007
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