Individual
MRS. KATHLEEN M MERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5440 TRINITY AVE, LOWVILLE, NY 13367-1316
(315) 376-2256
Mailing address
5440 TRINITY AVE, LOWVILLE, NY 13367-1316
(315) 376-2256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014969
NY
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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