Individual
MELINDA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7313 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9779
(315) 561-6960
Mailing address
210 CHESTNUT ST, NORTH SYRACUSE, NY 13212-2202
(315) 561-6960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013230-1
NY
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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