IndividualActive
Amy Derby, LMT
NPI 1902389042 · Massage Therapist · Kingston, PA
Provider details
- NPI number
- 1902389042
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- MSG001753 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
210 Division St
Kingston, PA 18704-2715
Phone: (570) 332-2826
Approximate (ZIP-level) locationGet directions
Mailing address
210 Division St
Kingston, PA 18704-2715
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.