| Marie Fanham, LMT | |
|
29 Clinton St, Brockport, NY 14420-1803 | |
| (585) 637-3126 | |
| Not Available |
| Full Name | Marie Fanham |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 29 Clinton St, Brockport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295189017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 029413-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Fanham, LMT 29 Clinton St, Brockport, NY 14420-1803 Ph: (585) 637-3126 | Marie Fanham, LMT 29 Clinton St, Brockport, NY 14420-1803 Ph: (585) 637-3126 |
Janice K. Waeghe, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4327 Sweden Walker Rd, Brockport, NY 14420 Phone: 585-331-7617 | |
Penny Bowers, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Market Street, Upstairs, Brockport, NY 14420 Phone: 585-704-4976 | |
Amy Dania Mason, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Clinton St, Brockport, NY 14420 Phone: 585-637-3126 Fax: 585-637-3126 | |
Miss Jennifer Ann Maher, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Clinton St, Brockport, NY 14420 Phone: 585-802-4692 | |
Ms. Kristy Genung Dibelka, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4079 Lake Rd N, Brockport, NY 14420 Phone: 585-697-4489 | |
Ms. Patricia M Mckenna, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Clinton St, Brockport, NY 14420 Phone: 585-259-2696 |