Individual
ANNE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
162 MILL ST, VILLAGE GLEN TENNIS CLUB, WILLIAMSVILLE, NY 14221-5549
(716) 812-7071
Mailing address
162 MILL ST, VILLAGE GLEN TENNIS CLUB, WILLIAMSVILLE, NY 14221-5549
(716) 812-7071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011828
NYS LICENSED MASSAGE THERAPIST
NY
Enumeration date
12/05/2008
Last updated
12/05/2008
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