Individual
RENEE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 S WARREN ST, SYRACUSE, NY 13202-1798
(315) 957-5963
Mailing address
3527 GRIFFIN RD, SYRACUSE, NY 13215-9525
(315) 877-0197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024732
NY
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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