DERRY MICALE, LMT

Massage Therapist

Active Individual
NPI: 1912319690

Practice Address

5496 E TAFT RD
North Syracuse, NY 13212

Phone: (315) 552-6700

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 024204 (NY)

Frequently Asked Questions

NPI 1912319690 is the National Provider Identifier for DERRY MICALE, LMT, a Massage Therapist provider located in North Syracuse, NY. This NPI was enumerated on May 29, 2014.
DERRY MICALE, LMT practices at 5496 E TAFT RD, North Syracuse, NY 13212.

Quick Facts

NPI
1912319690
Type
Individual
Enumerated
May 29, 2014
Last Updated
May 29, 2014

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