National Provider Identifier

Shalaya Danyelle Ferrell, LMT

Shalaya Danyelle Ferrell, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 826-1661.

NPI 1194472944Buffalo, NYMassage Therapist

Profile Overview

NPI
1194472944
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
March 02, 2022
Last Updated
March 02, 2022

Practice Location

  • 1796 Clinton St
  • Buffalo, NY 14206-3126

Phone: (716) 826-1661

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1194472944
Entity Type
Individual
Last Name
Ferrell
First Name
Shalaya
Middle Name
Danyelle
Credential
LMT
Provider Other Last Name
Gray
Provider Other First Name
Shalaya
Provider Other Middle Name
Danyelle
Provider Other Credential Text
LMT
Provider Other Last Name Type Code
1
Mailing Street Address
1796 Clinton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14206-3126
Mailing Country
US
Mailing Phone
(716) 826-1661
Mailing Fax
(716) 826-6110
Practice Street Address
1796 Clinton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14206-3126
Practice Country
US
Practice Phone
(716) 826-1661
Practice Fax
(716) 826-6110
Enumeration Date
March 02, 2022
Last Updated
March 02, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
March 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
028469-01 (NY, License)