Individual
MS. TIFFANY MARIE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
37 PROSPECT ST, AMSTERDAM, NY 12010-3600
(518) 810-1615
Mailing address
37 PROSPECT ST, AMSTERDAM, NY 12010-3600
(518) 810-1615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018971
NY
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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