Organization
BODY BALANCE MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NICOLE MARIE KENNELLY LMT (OWNER)
(718) 683-1905
Entity
Organization
Contact information
Practice address
850 7TH AVE, SUITE 606, NEW YORK, NY 10019-5230
(718) 683-1905
Mailing address
1822 ASTORIA PARK S, 2ND FLOOR, ASTORIA, NY 11102-3444
(718) 683-1905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27018013
NY
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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