MRS. Sandra M Macgowan, LMT

NPI #1033558424 in Fairport, New York

Provider Information

NPI Number: 1033558424
Entity Type: Individual
Name: MRS. Sandra M Macgowan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 18, 2013
Last Updated: Jul 3, 2014

Practice Location

Address: 221 AYRAULT RD
City: Fairport
State: New York
ZIP Code: 14450-2855
Phone: (585) 729-7072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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