Individual
MR. GARY R MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
39 GOODMAN ST N, ROCHESTER, NY 14607-1501
(585) 721-1027
(585) 420-9138
Mailing address
39 GOODMAN ST N, ROCHESTER, NY 14607-1501
(585) 721-1027
(585) 420-9138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175871GG
PREFERRED CARE - MASSAGE
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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