Individual
MEGAN RENEE BACKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
208 E 7TH ST APT 10, NEW YORK, NY 10009-5916
(917) 805-0991
Mailing address
208 E 7TH ST APT 10, NEW YORK, NY 10009-5916
(917) 805-0991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026321
NY
Other
Enumeration date
05/12/2015
Last updated
05/13/2015
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