MARIE FANHAM, LMT

Massage Therapist

Active Individual
NPI: 1295189017

Practice Address

29 CLINTON ST
Brockport, NY 14420

Phone: (585) 637-3126

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 029413-1 (NY)

Frequently Asked Questions

NPI 1295189017 is the National Provider Identifier for MARIE FANHAM, LMT, a Massage Therapist provider located in Brockport, NY. This NPI was enumerated on April 18, 2016.
MARIE FANHAM, LMT practices at 29 CLINTON ST, Brockport, NY 14420.

Quick Facts

NPI
1295189017
Type
Individual
Enumerated
Apr 18, 2016
Last Updated
Apr 18, 2016

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