Individual
TYKARAH PITT WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
312 N HIGHLAND AVE, NYACK, NY 10960-1416
(845) 689-1540
Mailing address
15 GAIL DR APT C, NYACK, NY 10960-1723
(845) 689-1540
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/30/2021
Last updated
07/04/2023
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