National Provider Identifier
Koehler Leslie Radder, MASSAGE THERAPIST
Koehler Leslie Radder, MASSAGE THERAPIST is listed in the NPPES registry with a primary specialty of Massage Therapist in West Seneca, NY and a listed phone number of (716) 675-2225.
Profile Overview
- NPI
- 1184196461
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- December 26, 2018
- Last Updated
- December 26, 2018
Practice Location
- 4214 Clinton St
- West Seneca, NY 14224-1606
Phone: (716) 675-2225
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1184196461
- Entity Type
- Individual
- Last Name
- Radder
- First Name
- Koehler
- Middle Name
- Leslie
- Credential
- MASSAGE THERAPIST
- Mailing Street Address
- 4214 Clinton St
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1606
- Mailing Country
- US
- Practice Street Address
- 4214 Clinton St
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1606
- Practice Country
- US
- Practice Phone
- (716) 675-2225
- Enumeration Date
- December 26, 2018
- Last Updated
- December 26, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)