Individual
JENNIFER LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 RIDGE ST, GLENS FALLS, NY 12801-3624
(518) 260-5261
Mailing address
40 STRAINER LN, FORT ANN, NY 12827-4127
(518) 260-5261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013696-1
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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