Individual
DANIELLE DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2230 PINE AVE, NIAGARA FALLS, NY 14301-2330
(716) 236-7385
Mailing address
2470 PIERCE AVE, NIAGARA FALLS, NY 14301-1424
(716) 236-7385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 029025
NY
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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