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Kim Su Ann Dermody, LMT
Massage Therapist in Wading River, New York
NPI 1154572352

Kim Su Ann Dermody is a Massage Therapist based in Wading River, NY. Kim Su Ann Dermody practices in Wading River, NY and has the professional credentials of LMT. The NPI Number for Kim Su Ann Dermody is 1154572352 and holds a License No. 011574 (New York).

The current practice location address for Kim Su Ann Dermody is 2 Sound Rd, Wading River, NY and can be reached out via phone at 631-886-1999.

Location: 2 Sound Rd, Wading River, NY, 11792-1033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154572352
Provider Name
Kim Su Ann Dermody
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2 Sound Rd, Wading River, NY, 11792-1033
Phone Number
631-886-1999
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Sound Rd
City
Wading River
State
New York
Zip
11792-1033
Phone Number
631-886-1999
Fax Number
person
Provider Business Mailing Address Details
Address
2 Sound Rd
City
Wading River
State
New York
Zip
11792-1033
Phone Number
631-886-1999
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
011574 (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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