Individual
MRS. JENELLE MARIE RIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
821 CLIFF ST, ITHACA, NY 14850-2097
(607) 591-1563
Mailing address
PO BOX 544, MARATHON, NY 13803-0544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022794
NY
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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