Individual provider · NPI-1

Valerie Anne Cushman, LMT

Massage Therapist · Syracuse, NY

NPI number1235630153
StatusActive
Last updated in NPPESFeb 26, 2018

Details

NPI
1235630153
Entity type
Individual (NPI-1)
Name
Valerie Anne Cushman
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 26, 2018
Last updated
Feb 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist27-P09101NYYes

Practice location

1106 E Genesee St
Syracuse, NY 13210-1912

Phone 315-422-6828

Mailing address

1106 E Genesee St
Syracuse, NY 13210-1912

Phone 315-382-4619

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