National Provider Identifier

Samarra Massage

Samarra Massage is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 278-8402.

NPI 1154709145Rochester, NYMassage Therapist

Profile Overview

NPI
1154709145
Provider Type
Organization
Primary Specialty
Massage Therapist
Enumeration Date
May 11, 2015
Last Updated
May 11, 2015

Practice Location

  • 1344 University Ave
  • Rochester, NY 14607-1656

Phone: (585) 278-8402

Mailing Address

  • 1815 Rochester St
  • Lima, NY 14485-9501

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1154709145
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Samarra Massage
Mailing Street Address
1815 Rochester St
Mailing City
Lima
Mailing State
NY
Mailing ZIP Code
14485-9501
Mailing Country
US
Mailing Phone
(585) 278-8402
Practice Street Address
1344 University Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1656
Practice Country
US
Practice Phone
(585) 278-8402
Enumeration Date
May 11, 2015
Last Updated
May 11, 2015
Authorized Official Last Name
Samarra
Authorized Official First Name
Ken
Authorized Official Title
Owner
Authorized Official Phone
(585) 278-8402
Organization Subpart
No
Authorized Official Credential Text
LMT
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)