National Provider Identifier
Katie Marie Coco Martinez, LMT
Katie Marie Coco Martinez, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in West Seneca, NY and a listed phone number of (716) 870-3548.
Profile Overview
- NPI
- 1396131884
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 10, 2015
- Last Updated
- September 07, 2023
Practice Location
- 40 Gardenville Pkwy W Ste 111
- West Seneca, NY 14224-1387
Phone: (716) 870-3548
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1396131884
- Entity Type
- Individual
- Last Name
- Coco Martinez
- First Name
- Katie
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMT
- Provider Other Last Name
- Dimpfl
- Provider Other First Name
- Katie
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LMT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 40 Gardenville Pkwy W Ste 111
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1387
- Mailing Country
- US
- Mailing Phone
- (716) 870-3548
- Practice Street Address
- 40 Gardenville Pkwy W Ste 111
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1387
- Practice Country
- US
- Practice Phone
- (716) 870-3548
- Enumeration Date
- April 10, 2015
- Last Updated
- September 07, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)