Doctor Name: | KYLE HIERHOLZER |
NPI Number: | 1417369216 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 025375 |
Business Practice Address: | 5496 E Taft Rd North Syracuse, NY - 132123784 |
Business Phone Number: | 3155526700 |
Business Fax Number: | 3155526701 |
Mailing Address: | 5496 E Taft Rd, NORTH SYRACUSE |
State: | NY |
Postal Code: | 132123784 |
Phone Number: | 3155526700 |
Fax Number: | 3155526701 |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 025375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |