Individual
KARMYNN LEEZANDRA BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
431 YOUNG ST, TONAWANDA, NY 14150-4038
(716) 262-7262
Mailing address
431 YOUNG ST, TONAWANDA, NY 14150-4038
(716) 262-7262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026641
NY
225700000X
Massage Therapist
29.005331
CT
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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