| Bethany Jean Fancher, LMT | |
|
3408 30th St Apt B45, Long Island City, NY 11106-3008 | |
| (718) 755-5361 | |
| Not Available |
| Full Name | Bethany Jean Fancher |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 3408 30th St Apt B45, Long Island City, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023668258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 11756 (Tennessee) | Secondary |
| 225700000X | Massage Therapist | 009725 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Jean Fancher, LMT 3408 30th St Apt B45, Long Island City, NY 11106-3008 Ph: (718) 755-5361 | Bethany Jean Fancher, LMT 3408 30th St Apt B45, Long Island City, NY 11106-3008 Ph: (718) 755-5361 |
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