Individual provider · Type 1 NPI

Derry Micale, LMT

Massage Therapist · North Syracuse, NY

NPI number 1912319690 Active

Practice location

5496 E Taft Rd
North Syracuse, NY 13212-3784

Call (315) 552-6700 Map

Fax (315) 552-6701

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X024204 (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 1912319690

Derry Micale, LMT's National Provider Identifier is 1912319690, issued on May 29, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Syracuse, NY. The record was last updated on May 29, 2014.