Individual provider · Type 1 NPI

Kelly O'Donnell, LMT

Massage Therapist · Farmingville, NY

NPI number 1114551397 Active

Practice location

1 Mount Mckinley Ave
Farmingville, NY 11738-2107

Call (631) 766-4235 Map

Mailing address

386 Erie St
Holbrook, NY 11741-2927

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X311363-1 (NY)
Massage Therapist Primary 225700000X012679-1 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Another provider at this address

Other massage therapist providers in Farmingville

See all in Farmingville →

About NPI 1114551397

Kelly O'Donnell, LMT's National Provider Identifier is 1114551397, issued on Feb 27, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmingville, NY. The record was last updated on Feb 27, 2020.