Individual
MS. KELLY NICOLE KOESTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
345 DICK RD, DEPEW, NY 14043-1800
(716) 901-1822
Mailing address
65 A ST, DEPEW, NY 14043-3002
(716) 901-1822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023753
NY
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/29/2011
Last updated
09/23/2022
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