National Provider Identifier

Kathryn Broeker

Kathryn Broeker is listed in the NPPES registry with a primary specialty of Massage Therapist in Niagara Falls, NY and a listed phone number of (716) 940-0411.

NPI 1013379247Niagara Falls, NYMassage Therapist

Profile Overview

NPI
1013379247
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
March 26, 2016
Last Updated
March 26, 2016

Practice Location

  • 920 Main St
  • Niagara Falls, NY 14301-1110

Phone: (716) 940-0411

Mailing Address

  • PO Box 373
  • Niagara Falls, NY 14302-0373

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1013379247
Entity Type
Individual
Last Name
Broeker
First Name
Kathryn
Mailing Street Address
PO Box 373
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14302-0373
Mailing Country
US
Practice Street Address
920 Main St
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-1110
Practice Country
US
Practice Phone
(716) 940-0411
Enumeration Date
March 26, 2016
Last Updated
March 26, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)