Individual
MRS. KELLY NICOLE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T, P.T.A
Contact information
Practice address
240 RED TAIL, STE. 3 & 4, ORCHARD PARK, NY 14127-1581
(716) 674-9600
(716) 674-9700
Mailing address
240 RED TAIL DR., STE. 3 & 4, ORCHARD PARK, NY 14127
(716) 674-9600
(716) 674-9700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019962
NY
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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