Organization
ESCAPE AWAY MASSAGE, PLLC
Active
Organization
ESCAPE AWAY MASSAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA TALLMAN LMT (OWNER/LICENSED MASSAGE THERAPIST)
(315) 269-4205
Entity
Organization
Contact information
Practice address
154 MAIN ST, NEW YORK MILLS, NY 13417-1150
(315) 269-4205
Mailing address
154 MAIN ST, NEW YORK MILLS, NY 13417-1150
(315) 269-4205
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
018320
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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