Individual
PAUL WRISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
215 SPENCERPORT RD, ROCHESTER, NY 14606-5209
(585) 755-9494
Mailing address
268 BURNT MILL RD, CHURCHVILLE, NY 14428-9405
(585) 293-3809
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017677
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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