National Provider Identifier

Athena Dee Lagace

Athena Dee Lagace is listed in the NPPES registry with a primary specialty of Massage Therapist in Niagara Falls, NY and a listed phone number of (716) 313-9602.

NPI 1053900118Niagara Falls, NYMassage Therapist

Profile Overview

NPI
1053900118
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
January 13, 2021
Last Updated
January 13, 2021

Practice Location

  • 4837 Lewiston RD
  • Niagara Falls, NY 14305-1183

Phone: (716) 313-9602

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1053900118
Entity Type
Individual
Last Name
Lagace
First Name
Athena
Middle Name
Dee
Mailing Street Address
4837 Lewiston RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14305-1183
Mailing Country
US
Mailing Phone
(716) 313-9602
Practice Street Address
4837 Lewiston RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14305-1183
Practice Country
US
Practice Phone
(716) 313-9602
Enumeration Date
January 13, 2021
Last Updated
January 13, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
January 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)