Maria Rose Ann Demitchell
Massage Therapist
3444 Williams Rd
Marcellus
, New York 13108-9627
Maria Rose Ann Demitchell
Massage Therapist
3444 Williams Rd
Marcellus
, New York 13108-9627
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Maria Rose Ann Demitchell
- 3444 Williams Rd
- Marcellus, NY
- Zip : 13108-9627
- Phone :
Second Address
- Maria Rose Ann Demitchell
- 3444 Williams Rd
- Marcellus, NY
- Zip : 13108-9627
- Phone : (315) 243-1695
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Is Maria Rose Ann Demitchell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 015305-2 | NY |
National Provider Identifier
| NPI | 1003316795 |
|---|---|
| Provider Name | Maria Rose Ann Demitchell |
| First Address | Marcellus, NY 13108-9627 |
| Second Address | Marcellus, NY 13108-9627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2018 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.