Individual
KRISTA L INGERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-0390
Mailing address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015013-1
NY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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