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Ms. Kelly R Maracle, LMT
Massage Therapist in Buffalo, New York
NPI 1699192898

Kelly R Maracle is a Massage Therapist based in Gowanda, NY. Kelly R Maracle practices in Buffalo, NY and has the professional credentials of LMT. The NPI Number for Kelly R Maracle is 1699192898 and holds a License No. 023019-1 (New York).

The current practice location address for Kelly R Maracle is 890 Elmwood Ave, Buffalo, NY and can be reached out via phone at 716-884-2826.

Location: 890 Elmwood Ave, Buffalo, NY, 14070-9709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699192898
Provider Name
Kelly R Maracle
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
890 Elmwood Ave, Buffalo, NY, 14070-9709
Phone Number
716-884-2826
Fax Number
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023019-1 01 NY NY STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
890 Elmwood Ave
City
Buffalo
State
New York
Zip
14222-1434
Phone Number
716-884-2826
Fax Number
person
Provider Business Mailing Address Details
Address
890 Elmwood Ave
City
Buffalo
State
New York
Zip
14222-1434
Phone Number
716-884-2826
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
023019-1 (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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