National Provider Identifier

Stephanie Jacqueline Radice, LMT

Stephanie Jacqueline Radice, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 626-4466.

NPI 1144663063Williamsville, NYMassage Therapist

Profile Overview

NPI
1144663063
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 10, 2013
Last Updated
June 15, 2015

Practice Location

  • 1961 Wehrle Dr
  • Suite 7
  • Williamsville, NY 14221-8460

Phone: (716) 626-4466

Mailing Address

  • 4591 Southwestern Blvd
  • Apt C4
  • Hamburg, NY 14075-1946

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1144663063
Entity Type
Individual
Last Name
Radice
First Name
Stephanie
Middle Name
Jacqueline
Credential
LMT
Mailing Street Address
4591 Southwestern Blvd
Mailing Address Line 2
Apt C4
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1946
Mailing Country
US
Mailing Phone
(716) 698-7284
Practice Street Address
1961 Wehrle Dr
Practice Address Line 2
Suite 7
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8460
Practice Country
US
Practice Phone
(716) 626-4466
Enumeration Date
April 10, 2013
Last Updated
June 15, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)