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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018929 (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.