Individual
MICHELLE PULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
996 STATE ROUTE 79, WINDSOR, NY 13865-1386
(607) 206-5347
Mailing address
1235 FRONT ST, BINGHAMTON, NY 13905-1168
(607) 206-5347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030180
NY
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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