Individual
TRISHA ANN WOOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 MAIN STREET, MEXICO, NY 13114-1311
(315) 807-2511
Mailing address
193 AMES ST, MEXICO, NY 13114-3208
(315) 807-2511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030661-1
NY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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