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Ms. Kelly O'donnell, LMT
Massage Therapist in Farmingville, New York
NPI 1114551397

Kelly O'donnell is a Massage Therapist based in Holbrook, NY. Kelly O'donnell practices in Farmingville, NY and has the professional credentials of LMT. The NPI Number for Kelly O'donnell is 1114551397 and holds a License No. 311363-1 (New York).

The current practice location address for Kelly O'donnell is 1 Mount Mckinley Ave, Farmingville, NY and can be reached out via phone at 631-766-4235.

Location: 1 Mount Mckinley Ave, Farmingville, NY, 11741-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114551397
Provider Name
Kelly O'donnell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1 Mount Mckinley Ave, Farmingville, NY, 11741-2927
Phone Number
631-766-4235
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Mount Mckinley Ave
City
Farmingville
State
New York
Zip
11738-2107
Phone Number
631-766-4235
Fax Number
person
Provider Business Mailing Address Details
Address
1 Mount Mckinley Ave
City
Farmingville
State
New York
Zip
11738-2107
Phone Number
631-766-4235
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
012679-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
311363-1 (New York)
Definition
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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