Individual
MICHELLE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 ROUTE 300, NEWBURGH, NY 12550-1757
(845) 551-6991
Mailing address
1650 ROUTE 300, NEWBURGH, NY 12550-1757
(845) 551-6991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020540
NY
Other
Enumeration date
10/26/2007
Last updated
10/29/2007
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