Individual provider · NPI-1

Krystan Berard

Massage Therapist · Syracuse, NY

NPI number1487057287
StatusActive
Last updated in NPPESOct 7, 2014

Details

NPI
1487057287
Entity type
Individual (NPI-1)
Name
Krystan Berard
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2014
Last updated
Oct 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist027953-1NYYes

Practice location

446 W Seneca Tpke
Syracuse, NY 13207-2643

Phone 315-440-3176

Mailing address

446 W Seneca Tpke
Syracuse, NY 13207-2643

Phone 315-440-3176

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