NPI 1225415250

Fireside Massage

Organisation Health Maintenance Organization Cresson, PA

Practice location

Address: 110 Keystone Ave, Cresson, PA 16630-1213
Phone: (814) 932-9669

Authorised official

Name: Kelly Ann Sklodowski
Title: Licenced Massage Therapist
Phone: (814) 932-9669

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence MSG003985 (PA)

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Registry record

NPI: 1225415250
Entity type: Organization
NPI issued: 28 Apr 2015
Record last updated: 28 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.