National Provider Identifier
Kelly Nicole Emerson, L.M.T, P.T.A
Kelly Nicole Emerson, L.M.T, P.T.A is listed in the NPPES registry with a primary specialty of Massage Therapist in Orchard Park, NY and a listed phone number of (716) 674-9600.
Profile Overview
- NPI
- 1831484096
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- June 16, 2011
- Last Updated
- June 16, 2011
Practice Location
- 240 Red Tail
- Ste. 3 & 4
- Orchard Park, NY 14127-1581
Phone: (716) 674-9600
Mailing Address
- 240 Red Tail Dr.
- Ste. 3 & 4
- Orchard Park, NY 14127
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1831484096
- Entity Type
- Individual
- Last Name
- Emerson
- First Name
- Kelly
- Middle Name
- Nicole
- Name Prefix
- Mrs.
- Credential
- L.M.T, P.T.A
- Mailing Street Address
- 240 Red Tail Dr.
- Mailing Address Line 2
- Ste. 3 & 4
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 674-9600
- Mailing Fax
- (716) 674-9700
- Practice Street Address
- 240 Red Tail
- Practice Address Line 2
- Ste. 3 & 4
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1581
- Practice Country
- US
- Practice Phone
- (716) 674-9600
- Practice Fax
- (716) 674-9700
- Enumeration Date
- June 16, 2011
- Last Updated
- June 16, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)