Individual
ELIZABETH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2605 BREWERTON ROADD LIN, A TOUCH ABOVE, MATTYDALE, NY 13211
(315) 455-9355
Mailing address
2605 BREWERTON ROAD, A TOUCH ABOVE, MATTYDALE, NY 13211
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025475-1
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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