Individual
SUSAN WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
58 N. MAIN ST, CANANDAIGUA, NY 14424
(315) 945-2776
Mailing address
PO BOX 225, GENEVA, NY 14456-0225
(315) 945-2776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022665-1
NY
Other
Enumeration date
03/31/2012
Last updated
09/09/2015
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