Keri Ann Cobb, LMT

Individual provider Active NPI Massage Therapist · Lowville, NY

NPI 1386974038 · NPPES record last updated Dec 31, 2009

Key facts

NPI
1386974038
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
022379 (NY)
Practice address
5440 Trinity Ave
Lowville, NY 13367
Phone
(315) 376-2256
NPI assigned
Dec 31, 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

LicenseStateTypeSpecialty
022379NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 022379 NY Yes

Addresses

Primary practice location

5440 Trinity Ave
Lowville, NY 13367

Mailing address

5440 Trinity Ave
Lowville, NY 13367
Phone (315) 376-2256

Other providers in Lowville, NY

All providers in Lowville, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.