Individual
COLIN DEMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
98 WOLF RD STE 15, ALBANY, NY 12205-1226
(518) 941-9550
Mailing address
308 THORNBERRY LN, RENSSELAER, NY 12144-8454
(518) 421-7370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028312-1
NY
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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