Individual
MRS. JOANNE BENNETT TIMKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
23 JEFFERSON ST., ELLICOTTVILLE, NY 14731-0781
(716) 699-8996
Mailing address
23 JEFFERSON STREET, BOX 781, ELLICOTTVILLE, NY 14731-0781
(716) 699-8996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015127-1
NY
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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