Individual
KATHLEEN ANN MACDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
544 S MAIN ST, CENTRAL SQUARE, NY 13036-9779
(315) 480-4646
Mailing address
544 SOUTH MAIN STREET POB 893, CENTRAL SQUARE, NY 13036-0893
(315) 480-4646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011826-1
NY
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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