Individual
MELISSA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8600 MAIN ST, SUITE 2, WILLIAMSVILLE, NY 14221-7464
(716) 616-9000
Mailing address
8600 MAIN ST, SUITE 2, WILLIAMSVILLE, NY 14221-7464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029539-1
NY
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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