NPI 1063617686

Marie R McMahon, LMT

Practitioner Mechanotherapist Jay, NY

Practice location

Address: 13036 Nys 9n, Jay, NY 12941
Phone: (518) 586-1823
Mailing address: PO Box 105, Jay, NY 12941-0105

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 019398 (NY)

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Registry record

NPI: 1063617686
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.