Individual
MRS. ELAINE MARIE KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
268 MEDFORD AVE STE 5, PATCHOGUE, NY 11772-1221
(631) 654-2473
Mailing address
268 MEDFORD AVE STE 5, PATCHOGUE, NY 11772-1221
(631) 654-2473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020415-1
NY
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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