Individual provider · Type 1 NPI

Kelly R. Maracle, LMT

Massage Therapist · Buffalo, NY

NPI number 1699192898 Active

Practice location

890 Elmwood Ave
Buffalo, NY 14222-1434

Call (716) 884-2826 Map

Mailing address

13967 Route 438
Gowanda, NY 14070-9709

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023019-1 (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 1699192898

Kelly R. Maracle, LMT's National Provider Identifier is 1699192898, issued on Mar 25, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Buffalo, NY. The record was last updated on Apr 7, 2014.