National Provider Identifier
Jamie Elise Mazza, DPT
Jamie Elise Mazza, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Le Roy, NY and a listed phone number of (585) 768-4550.
Profile Overview
- NPI
- 1255787586
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 05, 2016
- Last Updated
- October 30, 2019
Practice Location
- 3 West Ave
- Le Roy, NY 14482-1381
Phone: (585) 768-4550
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1255787586
- Entity Type
- Individual
- Last Name
- Mazza
- First Name
- Jamie
- Middle Name
- Elise
- Credential
- DPT
- Provider Other Last Name
- Marsden
- Provider Other First Name
- Jamie
- Provider Other Middle Name
- Elise
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3 West Ave
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1381
- Mailing Country
- US
- Mailing Phone
- (585) 768-4550
- Practice Street Address
- 3 West Ave
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-1381
- Practice Country
- US
- Practice Phone
- (585) 768-4550
- Enumeration Date
- May 05, 2016
- Last Updated
- October 30, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)