National Provider Identifier
Kelly Lynn Parker, LMT
Kelly Lynn Parker, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Newark, NY and a listed phone number of (315) 573-3549.
Profile Overview
- NPI
- 1043529035
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 24, 2010
- Last Updated
- September 24, 2010
Practice Location
- 215 S Main St
- Newark, NY 14513-1460
Phone: (315) 573-3549
Mailing Address
- 118 Pine Ridge Dr
- Newark, NY 14513-9184
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1043529035
- Entity Type
- Individual
- Last Name
- Parker
- First Name
- Kelly
- Middle Name
- Lynn
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 118 Pine Ridge Dr
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9184
- Mailing Country
- US
- Mailing Phone
- (315) 576-6953
- Practice Street Address
- 215 S Main St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1460
- Practice Country
- US
- Practice Phone
- (315) 573-3549
- Enumeration Date
- September 24, 2010
- Last Updated
- September 24, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)