National Provider Identifier

Jillian Roberts, L.M.T.

Jillian Roberts, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 862-1386.

NPI 1336532605Buffalo, NYMassage Therapist

Profile Overview

NPI
1336532605
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
March 11, 2015
Last Updated
October 28, 2015

Practice Location

  • 2157 Main St
  • Buffalo, NY 14214-2648

Phone: (716) 862-1386

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1336532605
Entity Type
Individual
Last Name
Roberts
First Name
Jillian
Credential
L.M.T.
Mailing Street Address
2157 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2648
Mailing Country
US
Mailing Phone
(716) 862-1386
Mailing Fax
(716) 862-2009
Practice Street Address
2157 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2648
Practice Country
US
Practice Phone
(716) 862-1386
Practice Fax
(716) 862-2009
Enumeration Date
March 11, 2015
Last Updated
October 28, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)