DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM SU ANN DERMODY, LMT

Active Sole Proprietor

KIM SU ANN DERMODY, LMT is a Massage Therapist healthcare provider located in WADING RIVER, New York. NPI 1154572352 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · WADING RIVER, NY

Registration Details

NPI Number
1154572352
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2008 (17.838953763161 yrs)
Last Updated
Oct 7, 2008
License
011574 (NY)
Sole Proprietor
Yes

Practice Information

Address
2 SOUND RD
D
WADING RIVER, NY, 117921033
Browse NY providers · Browse ZIP 11792
Phone
6318861999
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in WADING RIVER, NY

Name Credential NPI
MS. KIMBERLY ANN HOFFMANN LMT 1689252793
ALEXANDRA FRANZI LMT 1588322143
BRIDGET LAUX LMT 1831835479
YVONNE MONTALVO 1033826169
MICHELLE EVE NADLER 1871321224
KATORA MILLER 1134914484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.