Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID GERARD DEOLDEN II, L.M.T.
Active Sole ProprietorMR. DAVID GERARD DEOLDEN II, L.M.T. is a Massage Therapist healthcare provider located in KIRKVILLE, New York. NPI 1174206940 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · KIRKVILLE, NY
Registration Details
- NPI Number
- 1174206940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2023 (3.0361036490943 yrs)
- Last Updated
- Aug 9, 2023
- License
-
026355 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7868 PECK ROADKIRKVILLE, NY, 13082Browse NY providers · Browse ZIP 13082
- Phone
- 3154007909
- Primary Specialty
-
Massage Therapist
225700000X
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.