Individual
MS. AMY DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 DIVISION ST, KINGSTON, PA 18704-2715
(570) 332-2826
Mailing address
210 DIVISION ST, KINGSTON, PA 18704-2715
(570) 332-2826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001753
PA
Other
Enumeration date
09/14/2018
Last updated
10/28/2025
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