Individual provider · Type 1 NPI

Susan Dorinda Hetrick, LMT, MLD

Massage Therapist · Lockport, NY

NPI number 1730607052 Active

Practice location

7397 Ridge Rd
Lockport, NY 14094-9458

Call (716) 622-6111 Map

Fax (716) 772-5322

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030139-1 (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 1730607052

Susan Dorinda Hetrick, LMT, MLD's National Provider Identifier is 1730607052, issued on Sep 7, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lockport, NY. The record was last updated on Jun 9, 2021.