Patrick M Fuller LMT

NPI 1013243310 - Massage Therapist - 225700000X

NPI Details
NPI 1013243310
Gender Male
Enumeration Date 10/22/2009
Last Updated 10/19/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
113 SPRING ST # 1
FAYETTEVILLE NY, 13066-2021, US
Phone (315) 380-0556
Fax
Business Location
113 SPRING ST # 1
FAYETTEVILLE NY, 13066-2021, US
Phone (315) 380-0556
Fax
Toxanomy
Taxonomy Code 225700000X
License State New York
License Number 27-019443
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According to our database, Mr. Patrick M Fuller LMT NPI is 1013243310, taxonomy code is 225700000X and license number is 27-019443, license state is located at New York. Patrick M Fuller LMT physically located at 113 Spring St # 1, Fayetteville NY, 13066-2021. NPI Number Patrick M Fuller LMT has the Individual type.

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1013243310 NPI number is provided on an as is basis without warranty of any kind. 1013243310 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick M Fuller LMT are for informational purposes only.