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Jason Kelly, LMT
NPI 1811452378 · on the registry since 2019 · sole proprietor
Practice
- Address
- 709 N Main St
North Syracuse, NY 13212 - Phone
- (315) 459-4549
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York