=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336206879
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROL S. KESSLER PHD, LAC, LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 187 PINE ST
-----------------------------------------------------
City | KINGSTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12401-4527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-334-9340
-----------------------------------------------------
Fax | 845-334-9343
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 187 PINE ST
-----------------------------------------------------
City | KINGSTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12401-4527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-334-9340
-----------------------------------------------------
Fax | 845-334-9343
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 003666
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 000610
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------