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Susan Dorinda Hetrick, LMT,MLD
Massage Therapist in Lockport, New York
NPI 1730607052

Susan Dorinda Hetrick is a Massage Therapist based in Lockport, NY. Susan Dorinda Hetrick practices in Lockport, NY and has the professional credentials of LMT,MLD. The NPI Number for Susan Dorinda Hetrick is 1730607052 and holds a License No. 030139-1 (New York).

The current practice location address for Susan Dorinda Hetrick is 7397 Ridge Rd, Lockport, NY and can be reached out via phone at 716-622-6111 and via fax at 716-772-5322.

Location: 7397 Ridge Rd, Lockport, NY, 14094-9458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730607052
Provider Name
Susan Dorinda Hetrick
Credential
LMT,MLD
Provider Entity Type
Individual
Gender
Female
Address
7397 Ridge Rd, Lockport, NY, 14094-9458
Phone Number
716-622-6111
Fax Number
716-772-5322
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7397 Ridge Rd
City
Lockport
State
New York
Zip
14094-9458
Phone Number
716-622-6111
Fax Number
716-772-5322
person
Provider Business Mailing Address Details
Address
7397 Ridge Rd
City
Lockport
State
New York
Zip
14094-9458
Phone Number
716-622-6111
Fax Number
716-772-5322
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030139-1 (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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