Individual
MR. FLETCHER REID MATTHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2200 PENFIELD RD, AT LIFETIME FITNESS, PENFIELD, NY 14526-1711
(585) 732-2032
Mailing address
PO BOX 184, FAIRPORT, NY 14450-0184
(585) 732-2032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017332
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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