National Provider Identifier

Gary Stevens Gregory SR., LMT

Gary Stevens Gregory SR., LMT is listed in the NPPES registry with a primary specialty of Reflexologist in Buffalo, NY and a listed phone number of (716) 632-7373.

NPI 1245578301Buffalo, NYReflexologist

Profile Overview

NPI
1245578301
Provider Type
Individual
Primary Specialty
Reflexologist
Enumeration Date
January 24, 2013
Last Updated
January 24, 2013

Practice Location

  • 326 Cayuga RD
  • Buffalo, NY 14225-1940

Phone: (716) 632-7373

Mailing Address

  • 162 Borden RD
  • Depew, NY 14043-4207

Specialties

  • Reflexologist (173C00000X)
Full Record
NPI
1245578301
Entity Type
Individual
Last Name
Gregory
First Name
Gary
Middle Name
Stevens
Name Prefix
Mr.
Name Suffix
SR.
Credential
LMT
Mailing Street Address
162 Borden RD
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-4207
Mailing Country
US
Mailing Phone
(716) 698-4120
Practice Street Address
326 Cayuga RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-1940
Practice Country
US
Practice Phone
(716) 632-7373
Enumeration Date
January 24, 2013
Last Updated
January 24, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Reflexologist (173C00000X)
Other Identifiers
025710 (License Massage Therapist)