Individual
MR. SIDNEY W MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LMT
Contact information
Practice address
25 CRAWFORD VLG APT A, MCKEESPORT, PA 15132-1724
(412) 654-3749
Mailing address
25 CRAWFORD VLG APT A, MCKEESPORT, PA 15132-1724
(412) 654-3749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006385
PA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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