Individual
SUSAN NELLE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2402 ROUTE 20 EAST, CAZENOVIA, NY 13035
(315) 682-0654
Mailing address
2402 ROUTE 20 EAST, CAZENOVIA, NY 13035
(315) 682-0654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008158
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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