Individual
MELISSA SUE JORDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26121 US ROUTE 11, EVANS MILLS, NY 13637-3318
(315) 778-9221
Mailing address
26121 US ROUTE 11, EVANS MILLS, NY 13637-3318
(315) 778-9221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025879-1
NY
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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