Kathryn Bitterly, LMT
Individual provider Active NPI Massage Therapist · Queensbury, NY
NPI 1356679765 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1356679765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 018822-1 (NY)
- Practice address
- 5 Main St
Queensbury, NY 12804-4067 - Phone
- (518) 798-2225
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018822-1 | NY | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 018822-1 | NY | Yes |
Addresses
Primary practice location
5 Main St
Queensbury, NY 12804-4067
Mailing address
6 Killdeer Way
Granville, NY 12832-5245
Phone (518) 321-3707
Other providers in Queensbury, NY
- Beth Bishop
- Brandi Bishop
- Rachel Emma Bishop
- Zachary Bishop
- Roger Thomas Biss
- Jordan C. a. Blackwood
- Judith Elisa Blakely
- Suzanne M Blood
- Chris Ann Bocko-Wettersten
- Frances C Bollinger
All providers in Queensbury, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.