Individual
MICHELLENE COFFEY PARTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8151 N MAIN ST, EDEN, NY 14057-1137
(716) 361-2732
Mailing address
7611 N STATE RD, EDEN, NY 14057-9665
(716) 992-4958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009067
NY
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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