Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Su Ann Dermody, LMT

Individual provider Massage Therapist · NPI 1154572352

Kim Su Ann Dermody, LMT is a Massage Therapist in Wading River, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2 Sound Rd D
Wading River, NY 11792-1033
Phone: (631) 886-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 011574 (NY)

Record details

NPI number1154572352
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 7, 2008
Last updated in NPPESOctober 7, 2008

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