Individual
MIKAELA HINTERBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
87 WEST MAIN ST, DRYDEN, NY 13035
(607) 844-3304
Mailing address
6 JOSEPH ST., CORTLAND, NY 13045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030732
NY
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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