Individual
JAMIE RACKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1567 MILITARY RD, KENMORE, NY 14217-1264
(716) 877-0676
Mailing address
1567 MILITARY RD, KENMORE, NY 14217-1264
(716) 877-0676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021711
NY
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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