Individual
MICHAEL WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
989 KENMORE AVE, KENMORE, NY 14217-2924
(716) 877-2728
Mailing address
989 KENMORE AVE, KENMORE, NY 14217-2924
(716) 877-2728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026387-1
NY
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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