Michele Gullo-Bakowski, LMT

NPI #1811369606 in Clarence, New York

Provider Information

NPI Number: 1811369606
Entity Type: Individual
Name: Michele Gullo-Bakowski, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 20, 2015
Last Updated: Oct 20, 2015

Practice Location

Address: 10440 MAIN ST
Address 2: STE 2
City: Clarence
State: New York
ZIP Code: 14031-1627
Phone: (716) 868-9975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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