National Provider Identifier

Michelle Marie Jazdzewski, LMT

Michelle Marie Jazdzewski, LMT is listed in the NPPES registry with a primary specialty of Community Health Worker in Orchard Park, NY and a listed phone number of (716) 662-9525.

NPI 1316372097Orchard Park, NYCommunity Health Worker

Profile Overview

NPI
1316372097
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
September 12, 2013
Last Updated
September 12, 2013

Practice Location

  • 4065 North Buffalo Road
  • Orchard Park, NY 14127

Phone: (716) 662-9525

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1316372097
Entity Type
Individual
Last Name
Jazdzewski
First Name
Michelle
Middle Name
Marie
Credential
LMT
Mailing Street Address
4065 North Buffalo Road
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 662-9525
Practice Street Address
4065 North Buffalo Road
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 662-9525
Enumeration Date
September 12, 2013
Last Updated
September 12, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)