Individual
COLLEEN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 346-1539
Mailing address
35 TREETOP DR, FAIRPORT, NY 14450-3358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030393
NY
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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