Individual
MRS. CHERYL ANN KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
852 MADISON AVE., LEWISTON, NY 14092
(716) 998-6520
Mailing address
852 MADISON AVE., LEWISTON, NY 14092
(716) 998-6520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013297
NY
Other
Enumeration date
06/06/2007
Last updated
03/04/2014
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