Individual
MS. MICHELLE M. MYKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
552 LINDEN STREET, EAST AURORA, NY 14052
(716) 604-5081
Mailing address
10 SHORT DRIVE, ORCHARD PARK, NY 14127
(716) 604-5081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014932-1
NY
Other
Enumeration date
02/02/2007
Last updated
09/21/2012
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