National Provider Identifier

Kerry M. Davis, LMT

Kerry M. Davis, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Victor, NY and a listed phone number of (585) 507-7883.

NPI 1316076805Victor, NYMassage Therapist

Profile Overview

NPI
1316076805
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
March 02, 2007
Last Updated
July 08, 2007

Practice Location

  • 53 W Main St
  • Suite 2
  • Victor, NY 14564-1106

Phone: (585) 507-7883

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1316076805
Entity Type
Individual
Last Name
Davis
First Name
Kerry
Middle Name
M.
Credential
LMT
Mailing Street Address
53 W Main St
Mailing Address Line 2
Suite 2
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-1106
Mailing Country
US
Mailing Phone
(585) 507-7883
Practice Street Address
53 W Main St
Practice Address Line 2
Suite 2
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1106
Practice Country
US
Practice Phone
(585) 507-7883
Enumeration Date
March 02, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
180106GG (NY, Preferred Care)