Individual
ANIIYAH CHRISTINA KLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/RMT
Contact information
Practice address
367 ANDERSEN HILL ROAD, BERKSHIRE, NY 13736
(607) 342-3310
Mailing address
367 ANDERSEN HILL ROAD, BERKSHIRE, NY 13736
(607) 342-3310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017606
NY
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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