National Provider Identifier

Martin Kelley

Martin Kelley is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 631-1516.

NPI 1629828140Williamsville, NYMassage Therapist

Profile Overview

NPI
1629828140
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
March 26, 2024
Last Updated
March 26, 2024

Practice Location

  • 400 International Dr
  • Williamsville, NY 14221-5771

Phone: (716) 631-1516

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1629828140
Entity Type
Individual
Last Name
Kelley
First Name
Martin
Mailing Street Address
400 International Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5771
Mailing Country
US
Mailing Phone
(716) 631-1516
Practice Street Address
400 International Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5771
Practice Country
US
Practice Phone
(716) 631-1516
Enumeration Date
March 26, 2024
Last Updated
March 26, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
March 26, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)