Individual provider · Type 1 NPI

Kim Su Ann Dermody, LMT

Massage Therapist · Wading River, NY

NPI number 1154572352 Active

Practice location

2 Sound Rd, D
Wading River, NY 11792-1033

Call (631) 886-1999 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X011574 (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.

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About NPI 1154572352

Kim Su Ann Dermody, LMT's National Provider Identifier is 1154572352, issued on Oct 7, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wading River, NY. The record was last updated on Oct 7, 2008.