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Mr. Jason P Kelly, LMT
Massage Therapist in North Syracuse, New York
NPI 1811452378

Jason P Kelly is a Massage Therapist based in North Syracuse, NY. Jason P Kelly practices in North Syracuse, NY and has the professional credentials of LMT. The NPI Number for Jason P Kelly is 1811452378 and holds a License No. 021332-1 (New York).

The current practice location address for Jason P Kelly is 709 N Main St, North Syracuse, NY and can be reached out via phone at 315-459-4549.

Location: 709 N Main St, North Syracuse, NY, 13212-1669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811452378
Provider Name
Jason P Kelly
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
709 N Main St, North Syracuse, NY, 13212-1669
Phone Number
315-459-4549
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9286674 01 NY VA PROGRAM
institution
Provider Business Practice Location Address Details
Address
709 N Main St
City
North Syracuse
State
New York
Zip
13212-1669
Phone Number
315-459-4549
Fax Number
person
Provider Business Mailing Address Details
Address
709 N Main St
City
North Syracuse
State
New York
Zip
13212-1669
Phone Number
315-459-4549
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
021332-1 (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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