Individual
KRISTI LEIGH ROSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BREWERTON RD, MATTYDALE, NY 13211-1147
(315) 455-9355
Mailing address
24064 MILITARY RD, WATERTOWN, NY 13601-5860
(315) 771-5926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015989-1
NY
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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