Individual
MS. MICHELE SUSAN BUTZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2364 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3502
(631) 487-5439
Mailing address
36 SMITHTOWN POLK BLVD, CENTEREACH, NY 11720-3201
(631) 487-5439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013790-01
NY
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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