Individual
LEASA ANN MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1282 WATERLOO GENEVA RD, WATERLOO, NY 13165-1208
(315) 539-4683
(315) 539-4684
Mailing address
1282 WATERLOO GENEVA RD, WATERLOO, NY 13165-1208
(315) 539-4683
(315) 539-4684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022716
NY
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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