Individual provider · Type 1 NPI

Kelly Marie Bragger, LMT

Massage Therapist · Bay Shore, NY

NPI number 1750955951 Active

Practice location

375 E Main St Ste 7
Bay Shore, NY 11706-8418

Call (631) 343-4184 Map

Fax (631) 343-4168

Mailing address

254 Seaman Ave Apt D4
New York, NY 10034-1285

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X009649-1 (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 1750955951

Kelly Marie Bragger, LMT's National Provider Identifier is 1750955951, issued on May 13, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bay Shore, NY. The record was last updated on May 13, 2021.