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Derry Micale, LMT
Massage Therapist in North Syracuse, New York
NPI 1912319690

Derry Micale is a Massage Therapist based in North Syracuse, NY. Derry Micale practices in North Syracuse, NY and has the professional credentials of LMT. The NPI Number for Derry Micale is 1912319690 and holds a License No. 024204 (New York).

The current practice location address for Derry Micale is 5496 E Taft Rd, North Syracuse, NY and can be reached out via phone at 315-552-6700 and via fax at 315-552-6701.

Location: 5496 E Taft Rd, North Syracuse, NY, 13212-3784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912319690
Provider Name
Derry Micale
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
5496 E Taft Rd, North Syracuse, NY, 13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
Provider Enumeration Date
05/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5496 E Taft Rd
City
North Syracuse
State
New York
Zip
13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
person
Provider Business Mailing Address Details
Address
5496 E Taft Rd
City
North Syracuse
State
New York
Zip
13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
024204 (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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