National Provider Identifier

Nathan Edward Coogan, L.M.T.

Nathan Edward Coogan, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Warsaw, NY and a listed phone number of (585) 315-6812.

NPI 1023432994Warsaw, NYMassage Therapist

Profile Overview

NPI
1023432994
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
February 12, 2014
Last Updated
February 12, 2014

Practice Location

  • 4879 Old Buffalo RD
  • Warsaw, NY 14569-9562

Phone: (585) 315-6812

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1023432994
Entity Type
Individual
Last Name
Coogan
First Name
Nathan
Middle Name
Edward
Name Prefix
Mr.
Credential
L.M.T.
Mailing Street Address
4879 Old Buffalo RD
Mailing City
Warsaw
Mailing State
NY
Mailing ZIP Code
14569-9562
Mailing Country
US
Mailing Phone
(585) 315-6812
Mailing Fax
(585) 786-2842
Practice Street Address
4879 Old Buffalo RD
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-9562
Practice Country
US
Practice Phone
(585) 315-6812
Practice Fax
(585) 786-2842
Enumeration Date
February 12, 2014
Last Updated
February 12, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)