National Provider Identifier

Stephanie Jacobs

Stephanie Jacobs is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 478-7546.

NPI 1134633795Williamsville, NYMassage Therapist

Profile Overview

NPI
1134633795
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
November 18, 2017
Last Updated
November 18, 2017

Practice Location

  • 5195 Main St
  • Williamsville, NY 14221-5385

Phone: (716) 478-7546

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1134633795
Entity Type
Individual
Last Name
Jacobs
First Name
Stephanie
Mailing Street Address
5195 Main St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5385
Mailing Country
US
Mailing Phone
(716) 478-7546
Practice Street Address
5195 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5385
Practice Country
US
Practice Phone
(716) 478-7546
Enumeration Date
November 18, 2017
Last Updated
November 18, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)