Individual provider · Type 1 NPI
Michele Lee Vandertang, LICENSED MASSAGE THE
Massage Therapist · Rochester, NY
NPI number
1508810490
Active
Practice location
738 Brown Rd
Rochester, NY 14622-2316
Mailing address
38 Quay Dr
Rochester, NY 14617-1639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 018929 (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 1508810490
Michele Lee Vandertang, LICENSED MASSAGE THE's National Provider Identifier is 1508810490, issued on May 22, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rochester, NY. The record was last updated on Jul 8, 2007.