National Provider Identifier

Kathryn E White, LICENSE MASSAGE THER

Kathryn E White, LICENSE MASSAGE THER is listed in the NPPES registry with a primary specialty of Massage Therapist in Elmira, NY and a listed phone number of (607) 733-3235.

NPI 1720203888Elmira, NYMassage Therapist

Profile Overview

NPI
1720203888
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 16, 2007
Last Updated
July 08, 2007

Practice Location

  • 460 East Church St
  • Elmira, NY 14901

Phone: (607) 733-3235

Mailing Address

  • 346 Lorenzo Place
  • Elmira, NY 14901

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1720203888
Entity Type
Individual
Last Name
White
First Name
Kathryn
Middle Name
E
Name Prefix
Mrs.
Credential
LICENSE MASSAGE THER
Provider Other Last Name
Wolf
Provider Other First Name
Kathryn
Provider Other Middle Name
E
Provider Other Credential Text
LICENSE MASSAGE THER
Provider Other Last Name Type Code
1
Mailing Street Address
346 Lorenzo Place
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901
Mailing Country
US
Mailing Phone
(607) 733-5013
Practice Street Address
460 East Church St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 733-3235
Practice Fax
(607) 733-4036
Enumeration Date
April 16, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)