KELLIE TIERNEY, LMT

Massage Therapist

Active Individual
NPI: 1417591090

Practice Address

376 FULTON ST
Farmingdale, NY 11735

Phone: (631) 741-1242

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 029308 (NY)

Frequently Asked Questions

NPI 1417591090 is the National Provider Identifier for KELLIE TIERNEY, LMT, a Massage Therapist provider located in Farmingdale, NY. This NPI was enumerated on November 6, 2019.
KELLIE TIERNEY, LMT practices at 376 FULTON ST, Farmingdale, NY 11735.

Quick Facts

NPI
1417591090
Type
Individual
Enumerated
Nov 6, 2019
Last Updated
Jul 24, 2021

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