National Provider Identifier

Patricia M McKenna, LMT

Patricia M McKenna, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Brockport, NY and a listed phone number of (585) 259-2696.

NPI 1811286362Brockport, NYMassage Therapist

Profile Overview

NPI
1811286362
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 05, 2011
Last Updated
April 05, 2011

Practice Location

  • 29 Clinton St
  • Brockport, NY 14420-1803

Phone: (585) 259-2696

Mailing Address

  • 110 Woodlands
  • Brockport, NY 14420-2661

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1811286362
Entity Type
Individual
Last Name
McKenna
First Name
Patricia
Middle Name
M
Name Prefix
MS.
Credential
LMT
Mailing Street Address
110 Woodlands
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2661
Mailing Country
US
Mailing Phone
(585) 259-2696
Practice Street Address
29 Clinton St
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1803
Practice Country
US
Practice Phone
(585) 259-2696
Enumeration Date
April 05, 2011
Last Updated
April 05, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)