IndividualActive
Alicia Kimmerly, LCAT
NPI 1124871389 · Art Therapist · Silver Creek, NY
Provider details
- NPI number
- 1124871389
- Entity type
- Individual
- Primary specialty
- Art TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001993 (NY)
Mailing address
18 Lodi St
Forestville, NY 14062-9552
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.