Individual
BRANDI EVE COLLESIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2 ROSELL DR, BALLSTON LAKE, NY 12019-1433
(518) 663-6000
Mailing address
45 CHERYL CT, TROY, NY 12180-7023
(518) 322-9550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017444
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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