Individual
KRISTY LYNNE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1900 RIDGE RD, STE 127, WEST SENECA, NY 14224-3332
(716) 677-2969
Mailing address
96 CALDWELL DR, WEST SENECA, NY 14224-5010
(716) 510-5192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026135
NY
Other
Enumeration date
10/22/2012
Last updated
04/08/2015
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