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Katelyn Fortman

Massage Therapist in East Amherst, NY. Individual provider (NPI-1).

NPI number1154883387
StatusActive
Last updated in NPPESApr 5, 2019

Details

NPI
1154883387
Entity type
Individual (NPI-1)
Name
Katelyn Fortman
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2019
Last updated
Apr 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

4754 N French Rd
East Amherst, NY 14051-2176

Phone 716-688-8815

Mailing address

4754 N French Rd
East Amherst, NY 14051-2176

Phone 716-688-8815

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