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MISS NICOLE MARIE KENNELLY LMT
NPI 1134512114
Massage Therapist in Greenport, NY

Active since March 14, 2015
222 MANOR PL, GREENPORT, NY 11944(631) 268-4769 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Nicole Marie Kennelly Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS NICOLE MARIE KENNELLY LMT (NPI 1134512114) is an individual massage therapist in Greenport, New York, licensed in New York (018013) and active in the NPI registry since March 2015. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1134512114
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS NICOLE MARIE KENNELLYCredential: LMT
Location Address222 MANOR PLGreenport, NY 11944-1261
Mailing Address2595 Village LnOrient, NY 11957-1469 · (718) 683-1905
Phone(631) 268-4769
Sole ProprietorYes
Enumeration DateMarch 14, 2015
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1134512114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 018013
Definition

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.

222 MANOR PL, Greenport, NY 11944
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Secondary Practice Location 1

Location 1850 7th Ave, 606New York, NY 10019-5230 · Phone (718) 683-1905

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA H. ICKES M.D.
Internal Medicine
222 MANOR PL
GREENPORT, NY 11944
Suffolk County (631) 477-2626
MR. BRUCE EDWARD SAUL LCSW
Social Worker (Clinical)
222 MANOR PL
GREENPORT, NY 11944
Suffolk County (631) 871-9933
MS. COLETTE A. KERN L-MSW
Social Worker (Clinical)
222 MANOR PL
GREENPORT, NY 11944
Suffolk County (631) 298-8642
CYNTHIA H. ICKES, M.D., P.C.
Internal Medicine
222 MANOR PL
GREENPORT, NY 11944
Suffolk County (631) 477-2626
EAST END NEPHROLOGY, PC
Clinic/Center (Medical Specialty)
222 MANOR PL, SUITE # 102
GREENPORT, NY 11944
Suffolk County (631) 477-1755

Frequently Asked Questions

What is Nicole Kennelly's NPI number?

The NPI number assigned to this healthcare provider is 1134512114, enumerated as an "individual" on March 14, 2015.

Where is the provider located?

The provider is located at 222 MANOR PL GREENPORT, NY 11944 and the phone number is (631) 268-4769.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.