National Provider Identifier

Amanda Lucey

Amanda Lucey is listed in the NPPES registry with a primary specialty of Massage Therapist in Clarence, NY and a listed phone number of (716) 238-3985.

NPI 1023771904Clarence, NYMassage Therapist

Profile Overview

NPI
1023771904
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
October 18, 2021
Last Updated
October 18, 2021

Practice Location

  • 9515 Main St
  • Clarence, NY 14031-1914

Phone: (716) 238-3985

Mailing Address

  • 57 Walnut RD
  • Buffalo, NY 14224-3142

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1023771904
Entity Type
Individual
Last Name
Lucey
First Name
Amanda
Mailing Street Address
57 Walnut RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14224-3142
Mailing Country
US
Mailing Phone
(716) 238-3985
Practice Street Address
9515 Main St
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-1914
Practice Country
US
Practice Phone
(716) 238-3985
Enumeration Date
October 18, 2021
Last Updated
October 18, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
October 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)