Individual
KERI S YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
308 EXCHANGE ST, GENEVA, NY 14456
(315) 789-0052
(315) 789-0052
Mailing address
187 GLASGOW ST, APT 1, CLYDE, NY 14433
(315) 398-9042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0188151
NY
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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