Individual
BETHANY GRATIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026548
LICENSE
NY
Enumeration date
03/27/2015
Last updated
07/03/2023
Update your record
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