Individual
VIKKI KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2060 FAIRPORT NINE MILE PT RD, SUITE 403, PENFIELD, NY 14526-1749
(585) 261-8105
Mailing address
2060 FAIRPORT NINE MILE PT RD, SUITE 403, PENFIELD, NY 14526-1749
(585) 261-8105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011919
NY
Other
Enumeration date
06/09/2006
Last updated
07/09/2007
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