Individual
MS. KATHY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
751 PRE EMPTION RD, SUITE 2, GENEVA, NY 14456-1335
(315) 789-8212
Mailing address
410 S MAIN ST, #3, GENEVA, NY 14456-3151
(315) 781-2560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014450
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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