National Provider Identifier

Leslie Anne Burch, LMT

Leslie Anne Burch, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Orchard Park, NY and a listed phone number of (607) 319-3023.

NPI 1144912627Orchard Park, NYMassage Therapist

Profile Overview

NPI
1144912627
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
May 23, 2023
Last Updated
May 23, 2023

Practice Location

  • 3685 Southwestern Blvd
  • Orchard Park, NY 14127

Phone: (607) 319-3023

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1144912627
Entity Type
Individual
Last Name
Burch
First Name
Leslie
Middle Name
Anne
Credential
LMT
Provider Other Last Name
Ford
Provider Other First Name
Leslie
Provider Other Middle Name
Anne
Provider Other Credential Text
LMT
Provider Other Last Name Type Code
1
Mailing Street Address
3685 Southwestern Blvd
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(607) 319-3023
Practice Street Address
3685 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(607) 319-3023
Enumeration Date
May 23, 2023
Last Updated
May 23, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)