Individual
MARY BETH KAWALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3915 SHERIDAN DRIVE, AMHERST, NY 14226
(716) 632-7465
(716) 632-7464
Mailing address
3915 SHERIDAN DRIVE, AMHERST, NY 14226
(716) 632-7465
(716) 632-7464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16696-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
Enumeration date
12/18/2006
Last updated
08/24/2011
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