Individual
CASSIE LYN GOLDTHWAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC LMT
Contact information
Practice address
2374 MOUND ROAD ROUTE 414, WATERLOO, NY 13165
(315) 539-3262
Mailing address
29 SENECA MANOR DR, SENECA FALLS, NY 13148-2324
(607) 857-8842
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006854
NY
225700000X
Massage Therapist
026545
NY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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