National Provider Identifier
Kelly R Maracle, LMT
Kelly R Maracle, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 884-2826.
Profile Overview
- NPI
- 1699192898
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 25, 2014
- Last Updated
- April 07, 2014
Practice Location
- 890 Elmwood Ave
- Buffalo, NY 14222-1434
Phone: (716) 884-2826
Mailing Address
- 13967 Route 438
- Gowanda, NY 14070-9709
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1699192898
- Entity Type
- Individual
- Last Name
- Maracle
- First Name
- Kelly
- Middle Name
- R
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 13967 Route 438
- Mailing City
- Gowanda
- Mailing State
- NY
- Mailing ZIP Code
- 14070-9709
- Mailing Country
- US
- Mailing Phone
- (716) 982-3967
- Practice Street Address
- 890 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1434
- Practice Country
- US
- Practice Phone
- (716) 884-2826
- Enumeration Date
- March 25, 2014
- Last Updated
- April 07, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)
- Other Identifiers
- 023019-1 (NY, Ny State License Number)