Individual provider · Type 1 NPI

Kelly J. Wahl, LMT

Massage Therapist · Cheektowaga, NY

NPI number 1649527268 Active

Practice location

3083 William St, Suite 4
Cheektowaga, NY 14227-1933

Call (716) 544-0753 Map

Fax (716) 783-8727

Mailing address

3083 William Street, Suite 4
Cheektowaga, NY 14227

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X020632-1 (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.

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About NPI 1649527268

Kelly J. Wahl, LMT's National Provider Identifier is 1649527268, issued on Aug 14, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cheektowaga, NY. The record was last updated on Aug 14, 2012.