Provider Demographics
NPI:1093272726
Name:MCGEE, PATRICIA A (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 LONG BRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3212
Mailing Address - Country:US
Mailing Address - Phone:315-939-9524
Mailing Address - Fax:
Practice Address - Street 1:121 ONEIDA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-1644
Practice Address - Country:US
Practice Address - Phone:315-939-9524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022069225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty