National Provider Identifier
John Jude Regan
John Jude Regan is listed in the NPPES registry with a primary specialty of Massage Therapist in Ellicottville, NY and a listed phone number of (716) 699-8996.
Profile Overview
- NPI
- 1134359730
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- July 17, 2009
- Last Updated
- July 17, 2009
Practice Location
- 23 Jefferson St.
- Ellicottville, NY 14731-0781
Phone: (716) 699-8996
Mailing Address
- PO Box 781
- 23 Jefferson St.
- Ellicottville, NY 14731-0781
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1134359730
- Entity Type
- Individual
- Last Name
- Regan
- First Name
- John
- Middle Name
- Jude
- Mailing Street Address
- PO Box 781
- Mailing Address Line 2
- 23 Jefferson St.
- Mailing City
- Ellicottville
- Mailing State
- NY
- Mailing ZIP Code
- 14731-0781
- Mailing Country
- US
- Mailing Phone
- (716) 699-8996
- Practice Street Address
- 23 Jefferson St.
- Practice City
- Ellicottville
- Practice State
- NY
- Practice ZIP Code
- 14731-0781
- Practice Country
- US
- Practice Phone
- (716) 699-8996
- Enumeration Date
- July 17, 2009
- Last Updated
- July 17, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)