Individual
JORDAN DUTIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14 OXFORD CT, NANUET, NY 10954-3859
(845) 536-7238
Mailing address
14 OXFORD CT, NANUET, NY 10954-3859
(845) 352-1774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033049
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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