National Provider Identifier
Kelly J Wahl, LMT
Kelly J Wahl, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Cheektowaga, NY and a listed phone number of (716) 544-0753.
Profile Overview
- NPI
- 1649527268
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- August 14, 2012
- Last Updated
- August 14, 2012
Practice Location
- 3083 William St
- Suite 4
- Cheektowaga, NY 14227-1933
Phone: (716) 544-0753
Mailing Address
- 3083 William Street
- Suite 4
- Cheektowaga, NY 14227
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1649527268
- Entity Type
- Individual
- Last Name
- Wahl
- First Name
- Kelly
- Middle Name
- J
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 3083 William Street
- Mailing Address Line 2
- Suite 4
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227
- Mailing Country
- US
- Mailing Phone
- (716) 544-0753
- Mailing Fax
- (716) 783-8727
- Practice Street Address
- 3083 William St
- Practice Address Line 2
- Suite 4
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14227-1933
- Practice Country
- US
- Practice Phone
- (716) 544-0753
- Practice Fax
- (716) 783-8727
- Enumeration Date
- August 14, 2012
- Last Updated
- August 14, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)