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Marie Fanham, LMT
Massage Therapist in Brockport, New York
NPI 1295189017

Marie Fanham is a Massage Therapist based in Brockport, NY. Marie Fanham practices in Brockport, NY and has the professional credentials of LMT. The NPI Number for Marie Fanham is 1295189017 and holds a License No. 029413-1 (New York).

The current practice location address for Marie Fanham is 29 Clinton St, Brockport, NY and can be reached out via phone at 585-637-3126.

Location: 29 Clinton St, Brockport, NY, 14420-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295189017
Provider Name
Marie Fanham
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
29 Clinton St, Brockport, NY, 14420-1803
Phone Number
585-637-3126
Fax Number
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29 Clinton St
City
Brockport
State
New York
Zip
14420-1803
Phone Number
585-637-3126
Fax Number
person
Provider Business Mailing Address Details
Address
29 Clinton St
City
Brockport
State
New York
Zip
14420-1803
Phone Number
585-637-3126
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
029413-1 (New York)
Definition
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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