Individual
JESSICA MACMILLAN-BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 ANDREWS ST, MASSENA, NY 13662-2816
(315) 250-1960
Mailing address
108 ANDREWS ST, MASSENA, NY 13662-2816
(315) 250-1960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029568
NY
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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