Ms Kelly R Maracle, LMT | |
890 Elmwood Ave, Buffalo, NY 14222-1434 | |
(716) 884-2826 | |
Not Available |
Full Name | Ms Kelly R Maracle |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 890 Elmwood Ave, Buffalo, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699192898 | NPI | - | NPPES |
023019-1 | Other | NY | NY STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 023019-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly R Maracle, LMT 13967 Route 438, Gowanda, NY 14070-9709 Ph: (716) 982-3967 | Ms Kelly R Maracle, LMT 890 Elmwood Ave, Buffalo, NY 14222-1434 Ph: (716) 884-2826 |
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