National Provider Identifier
Kelly Nicole Koestler, L.M.T
Kelly Nicole Koestler, L.M.T is listed in the NPPES registry with a primary specialty of Massage Therapist in Depew, NY and a listed phone number of (716) 901-1822.
Profile Overview
- NPI
- 1982973491
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- December 29, 2011
- Last Updated
- September 23, 2022
Practice Location
- 345 Dick RD
- Depew, NY 14043-1800
Phone: (716) 901-1822
Mailing Address
- 65 A St
- Depew, NY 14043-3002
Specialties
- Massage Therapist (225700000X)
- Massage Therapist (225700000X)
Full Record
- NPI
- 1982973491
- Entity Type
- Individual
- Last Name
- Koestler
- First Name
- Kelly
- Middle Name
- Nicole
- Name Prefix
- MS.
- Credential
- L.M.T
- Mailing Street Address
- 65 A St
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-3002
- Mailing Country
- US
- Mailing Phone
- (716) 901-1822
- Practice Street Address
- 345 Dick RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1800
- Practice Country
- US
- Practice Phone
- (716) 901-1822
- Enumeration Date
- December 29, 2011
- Last Updated
- September 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X), Massage Therapist (225700000X)