Individual
ALEXA LEE CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26121 US ROUTE 11, EVANS MILLS, NY 13637-3318
(315) 778-9221
Mailing address
13505 MIDDLE RD, DEXTER, NY 13634
(315) 778-9221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030441
NY
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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