Individual
MRS. KATHRYN E WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE MASSAGE THER
Contact information
Practice address
460 EAST CHURCH ST, ELMIRA, NY 14901
(607) 733-3235
(607) 733-4036
Mailing address
346 LORENZO PLACE, ELMIRA, NY 14901
(607) 733-5013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0120241
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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