Individual
JODY LEIGH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, LMT
Contact information
Practice address
6271 S VINE VALLEY RD, MIDDLESEX, NY 14507-9761
(585) 478-4590
Mailing address
1779 ROUTE 21, SHORTSVILLE, NY 14548-9718
(585) 478-4590
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25005777
NY
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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