Betheny Anne Witherell

NPI #1407137698 in Mattydale, New York

Provider Information

NPI Number: 1407137698
Entity Type: Individual
Name: Betheny Anne Witherell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 1, 2011
Last Updated: Apr 8, 2013

Practice Location

Address: 2605 BREWERTON RD
City: Mattydale
State: New York
ZIP Code: 13211-1147
Phone: (315) 455-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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