National Provider Identifier
Kathleen Prendergast, OTR, LMT
Kathleen Prendergast, OTR, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Springville, NY and a listed phone number of (716) 560-7315.
Profile Overview
- NPI
- 1003003377
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 01, 2007
- Last Updated
- October 01, 2007
Practice Location
- 210 E Main St
- Springville, NY 14141-1442
Phone: (716) 560-7315
Mailing Address
- 9568 Darien RD
- West Falls, NY 14170-9611
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1003003377
- Entity Type
- Individual
- Last Name
- Prendergast
- First Name
- Kathleen
- Credential
- OTR, LMT
- Mailing Street Address
- 9568 Darien RD
- Mailing City
- West Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14170-9611
- Mailing Country
- US
- Mailing Phone
- (716) 560-7315
- Practice Street Address
- 210 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1442
- Practice Country
- US
- Practice Phone
- (716) 560-7315
- Enumeration Date
- October 01, 2007
- Last Updated
- October 01, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)