Individual
KATHRYN BROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 MAIN ST, NIAGARA FALLS, NY 14301-1110
(716) 940-0411
Mailing address
PO BOX 373, NIAGARA FALLS, NY 14302-0373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029153
NY
Other
Enumeration date
03/26/2016
Last updated
03/26/2016
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