Individual
LISBETH SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 NORTH ST, EAST AURORA, NY 14052-1413
(716) 310-9741
Mailing address
451 NORTH ST, EAST AURORA, NY 14052-1413
(716) 310-9741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008138-1
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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