National Provider Identifier

Cheryl Lynn Kull, LMT

Cheryl Lynn Kull, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Lackawanna, NY and a listed phone number of (716) 803-4372.

NPI 1578905790Lackawanna, NYMassage Therapist

Profile Overview

NPI
1578905790
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 30, 2013
Last Updated
July 30, 2013

Practice Location

  • 10 Cleveland Ave
  • Lackawanna, NY 14218-3401

Phone: (716) 803-4372

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1578905790
Entity Type
Individual
Last Name
Kull
First Name
Cheryl
Middle Name
Lynn
Credential
LMT
Provider Other Last Name
Empringham
Provider Other First Name
Cheryl
Provider Other Middle Name
Lynn
Provider Other Last Name Type Code
1
Mailing Street Address
10 Cleveland Ave
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-3401
Mailing Country
US
Practice Street Address
10 Cleveland Ave
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-3401
Practice Country
US
Practice Phone
(716) 803-4372
Enumeration Date
July 30, 2013
Last Updated
July 30, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)