Individual
ELIZABETH HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
538 W STATE ST, ITHACA, NY 14850-5274
(607) 592-3316
Mailing address
166 BREED RD, LOCKE, NY 13092-3218
(607) 239-7001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026424
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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