National Provider Identifier

Stephen Michael Ryan, LMT, NCTMB

Stephen Michael Ryan, LMT, NCTMB is listed in the NPPES registry with a primary specialty of Massage Therapist in Canandaigua, NY and a listed phone number of (585) 394-7870.

NPI 1073738589Canandaigua, NYMassage Therapist

Profile Overview

NPI
1073738589
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 473 N Main St
  • Canandaigua, NY 14424-1048

Phone: (585) 394-7870

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1073738589
Entity Type
Individual
Last Name
Ryan
First Name
Stephen
Middle Name
Michael
Name Prefix
Mr.
Credential
LMT, NCTMB
Mailing Street Address
473 N Main St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1048
Mailing Country
US
Mailing Phone
(585) 394-7870
Practice Street Address
473 N Main St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1048
Practice Country
US
Practice Phone
(585) 394-7870
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
196335GG (NY, Preferred Care)