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Gerard Kelly, L.M.T. — NPI 1811146772, Massapequa, NY | NPI Central

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Gerard Kelly, L.M.T.

NPI 1811146772 · Mechanotherapist · Massapequa, NY

Provider details

NPI number: 1811146772
Entity type: Individual
Primary specialty: MechanotherapistOther Service Providers
Credential: L.M.T.
Sex: Male
Sole proprietor: Yes
License: 008693 (NY)

Specialties & taxonomies

MechanotherapistPrimary172M00000XLicense 008693 (NY)
Other Service Providers

Practice location

550 Broadway Ste 201

Massapequa, NY 11758-5013

Phone: (516) 815-3134

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

550 Broadway Ste 201

Massapequa, NY 11758-5013

Registry dates

Enumerated: 2008-09-16
Last updated: 2008-09-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.