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KATHLEEN PRENDERGAST OTR LMT NPI 1003003377


NPI Profile

NPI: 1003003377
Provider Name: KATHLEEN PRENDERGAST, OTR, LMT
Classification:Massage Therapist - 225700000X
Entity Type: Individual
Address:
210 E MAIN ST
SPRINGVILLE, NY
ZIP 14141
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Phone: (716) 560-7315

Kathleen Prendergast, OTR, LMT is a massage therapist in Springville, NY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kathleen Prendergast, OTR, LMT NPI is 1003003377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 E MAIN ST
SPRINGVILLE, NY
ZIP 14141-442
Phone: (716) 560-7315

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist014927-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.