Individual provider · Type 1 NPI
David Gerard Deolden Ii, L.M.T.
Massage Therapist · Kirkville, NY
NPI number
1174206940
Active
Practice location
7868 Peck Road
Kirkville, NY 13082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 026355 (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.
About NPI 1174206940
David Gerard Deolden Ii, L.M.T.'s National Provider Identifier is 1174206940, issued on Aug 9, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kirkville, NY. The record was last updated on Aug 9, 2023.