National Provider Identifier
Tina Destro
Tina Destro is listed in the NPPES registry with a primary specialty of Massage Therapist in West Seneca, NY and a listed phone number of (716) 480-0242.
Profile Overview
- NPI
- 1104234673
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- July 29, 2014
- Last Updated
- July 29, 2014
Practice Location
- 135 Thorndale Ave
- West Seneca, NY 14224-1877
Phone: (716) 480-0242
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1104234673
- Entity Type
- Individual
- Last Name
- Destro
- First Name
- Tina
- Mailing Street Address
- 135 Thorndale Ave
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1877
- Mailing Country
- US
- Practice Street Address
- 135 Thorndale Ave
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1877
- Practice Country
- US
- Practice Phone
- (716) 480-0242
- Enumeration Date
- July 29, 2014
- Last Updated
- July 29, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)