National Provider Identifier

Brenda Lee Samuel, LMT

Brenda Lee Samuel, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Cheektowaga, NY and a listed phone number of (716) 462-0053.

NPI 1205143435Cheektowaga, NYMassage Therapist

Profile Overview

NPI
1205143435
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
September 09, 2010
Last Updated
September 09, 2010

Practice Location

  • 372 Ellen Dr
  • Cheektowaga, NY 14225-1323

Phone: (716) 462-0053

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1205143435
Entity Type
Individual
Last Name
Samuel
First Name
Brenda
Middle Name
Lee
Name Prefix
Mrs.
Credential
LMT
Mailing Street Address
372 Ellen Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1323
Mailing Country
US
Mailing Phone
(716) 462-0053
Practice Street Address
372 Ellen Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1323
Practice Country
US
Practice Phone
(716) 462-0053
Enumeration Date
September 09, 2010
Last Updated
September 09, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)