Individual
TINA KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 N MAIN ST, ADAMS, NY 13605-3102
(315) 405-1839
Mailing address
13443 BISHOP STREET RD, ADAMS, NY 13605-2171
(315) 405-1839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025893-1
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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