National Provider Identifier

Kristin Noelle Tantillo, LMT

Kristin Noelle Tantillo, LMT is listed in the NPPES registry with a primary specialty of Specialist in Niagara Falls, NY and a listed phone number of (716) 930-1060.

NPI 1063641058Niagara Falls, NYSpecialist

Profile Overview

NPI
1063641058
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 10, 2009
Last Updated
July 10, 2009

Practice Location

  • 3117 Military RD
  • Niagara Falls, NY 14304-4813

Phone: (716) 930-1060

Mailing Address

  • 1221 Brandi Dr
  • Niagara Falls, NY 14304-5802

Specialties

  • Specialist (174400000X)
Full Record
NPI
1063641058
Entity Type
Individual
Last Name
Tantillo
First Name
Kristin
Middle Name
Noelle
Name Prefix
Mrs.
Credential
LMT
Mailing Street Address
1221 Brandi Dr
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-5802
Mailing Country
US
Mailing Phone
(716) 930-1060
Mailing Fax
(716) 298-4779
Practice Street Address
3117 Military RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-4813
Practice Country
US
Practice Phone
(716) 930-1060
Practice Fax
(716) 298-4778
Enumeration Date
July 10, 2009
Last Updated
July 10, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)