Individual
MS. ELAINE A MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 ALMA ST, PITTSFIELD, MA 01201-8657
(413) 822-0402
(413) 464-9553
Mailing address
15 ALMA ST, PITTSFIELD, MA 01201-8657
(413) 822-0402
(413) 464-9553
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
5245
MA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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