National Provider Identifier

Tyler Alexander Sciolino, LMT

Tyler Alexander Sciolino, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 880-6291.

NPI 1033481445Williamsville, NYMassage Therapist

Profile Overview

NPI
1033481445
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
January 31, 2012
Last Updated
January 31, 2012

Practice Location

  • 8560 Main St
  • Williamsville, NY 14221-7460

Phone: (716) 880-6291

Mailing Address

  • 4975 Goodrich RD
  • Clarence, NY 14031-2403

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1033481445
Entity Type
Individual
Last Name
Sciolino
First Name
Tyler
Middle Name
Alexander
Name Prefix
Mr.
Credential
LMT
Provider Other Last Name
Sciolino
Provider Other First Name
Alexander
Provider Other Middle Name
Huber
Provider Other Name Prefix Text
Mr.
Provider Other Credential Text
LMT
Provider Other Last Name Type Code
2
Mailing Street Address
4975 Goodrich RD
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-2403
Mailing Country
US
Mailing Phone
(716) 880-6291
Practice Street Address
8560 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7460
Practice Country
US
Practice Phone
(716) 880-6291
Enumeration Date
January 31, 2012
Last Updated
January 31, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)