Individual provider · Type 1 NPI

Betheny Anne Witherell

Massage Therapist · Mattydale, NY

NPI number 1407137698 Active

Practice location

2605 Brewerton Rd
Mattydale, NY 13211-1147

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X024992 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1407137698

Betheny Anne Witherell's National Provider Identifier is 1407137698, issued on Sep 1, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mattydale, NY. The record was last updated on Apr 8, 2013.