Individual provider · NPI-1

Genette Brush

Massage Therapist · Syracuse, NY

NPI number1730879131
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1730879131
Entity type
Individual (NPI-1)
Name
Genette Brush
Sex
Female
Sole proprietor
Yes
Enumeration date
May 9, 2023
Certification date
May 9, 2023
Last updated
May 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes
225700000X Massage Therapist026249NY

Practice location

5858 E Molloy Rd Ste 159
Syracuse, NY 13211-2015

Phone 315-415-2945

Mailing address

5858 E Molloy Rd Ste 159
Syracuse, NY 13211-2015

Phone 315-415-2945

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