Individual
PHYLLIS ELAINE FIRTH - GUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9146 E LAKE RD, WESTFIELD, NY 14787-9528
(171) 632-6662
Mailing address
9146 E LAKE RD, WESTFIELD, NY 14787-9528
(171) 632-6662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001950
OR
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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