Individual provider · Type 1 NPI
Nicole Marie Kennelly, LMT
Massage Therapist · Greenport, NY
NPI number
1134512114
Active
Practice location
222 Manor Pl
Greenport, NY 11944-1261
Mailing address
2595 Village Ln
Orient, NY 11957-1469
Other practice locations
- 850 7th Ave, 606, New York, NY 10019-5230 · (718) 683-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 018013 (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.
5 other providers at this address
- Cynthia H. Ickes, M.d., P.c.Internal Medicine Physician Greenport, NY NPI 1568765204
- East End Nephrology, PCMedical Specialty Clinic/Center Greenport, NY NPI 1265474951
- Bruce Edward Saul, LCSWClinical Social Worker Greenport, NY NPI 1568512606
- Colette A. Kern, L-MSWClinical Social Worker Greenport, NY NPI 1053435529
- Cynthia H. Ickes, MDInternal Medicine Physician Greenport, NY NPI 1992741409
Other massage therapist providers in Greenport
About NPI 1134512114
Nicole Marie Kennelly, LMT's National Provider Identifier is 1134512114, issued on Mar 14, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Greenport, NY. The record was last updated on Mar 29, 2021.