Individual
NANCEY C KELEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5556 DAVISON RD, LOCKPORT, NY 14094-9090
(716) 622-1488
Mailing address
5556 DAVISON RD, LOCKPORT, NY 14094-9090
(716) 622-1488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0211921
NY
Other
Enumeration date
05/05/2009
Last updated
01/08/2015
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