Individual
KEVIN NEIL BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8387 SENECA TPKE, NEW HARTFORD, NY 13413-4957
(315) 794-9554
Mailing address
8387 SENECA TPKE, NEW HARTFORD, NY 13413-4957
(315) 794-9554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011536
NY
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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