Patricia M McKenna, LMT
Massage Therapist in Brockport, NY. Individual provider (NPI-1).
NPI number1811286362
StatusActive
Last updated in NPPESApr 5, 2011
Details
- NPI
- 1811286362
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia M McKenna
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2011
- Last updated
- Apr 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 015243 | NY | Yes |
Practice location
29 Clinton StBrockport, NY 14420-1803
Phone 585-259-2696
Mailing address
110 WoodlandsBrockport, NY 14420-2661
Phone 585-259-2696
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Other Massage Therapist providers in Brockport, NY
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All 7 Massage Therapist providers in Brockport · All 444 providers in Brockport
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