Individual provider · Type 1 NPI

Kelly Nicole Emerson, L.M.T, P.T.A

Massage Therapist · Orchard Park, NY

NPI number 1831484096 Active

Practice location

240 Red Tail, Ste. 3 & 4
Orchard Park, NY 14127-1581

Call (716) 674-9600 Map

Fax (716) 674-9700

Mailing address

240 Red Tail Dr., Ste. 3 & 4
Orchard Park, NY 14127

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X019962 (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 1831484096

Kelly Nicole Emerson, L.M.T, P.T.A's National Provider Identifier is 1831484096, issued on Jun 16, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orchard Park, NY. The record was last updated on Jun 16, 2011.