Elizabeth A. Penrose, LMT
Massage Therapist in Marathon, NY. Individual provider (NPI-1).
NPI number1982170163
StatusActive
Last updated in NPPESNov 12, 2019
Details
- NPI
- 1982170163
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth A. Penrose
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2018
- Last updated
- Nov 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 031140 | NY | Yes |
Practice location
1098 State Route 221Marathon, NY 13803-1108
Phone 607-662-5825
Mailing address
87 W Main StDryden, NY 13053-8706
Phone 607-844-3304
Other practice locations
87 W Main St
Dryden, NY 13053-8706
Dryden, NY 13053-8706
Phone 607-844-3304
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