Individual
MS. KIM ELIZABETH BURNHAM-FECHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., L.V.T.
Contact information
Practice address
736 CENTER ST, LEWISTON, NY 14092-1706
(716) 628-4636
Mailing address
736 CENTER ST, LEWISTON, NY 14092-1706
(716) 628-4636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019373
NY
Other
Enumeration date
09/23/2007
Last updated
09/23/2007
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