National Provider Identifier

Alexis Nicole Vine, LMT

Alexis Nicole Vine, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Amherst, NY and a listed phone number of (716) 949-2810.

NPI 1407374465Amherst, NYMassage Therapist

Profile Overview

NPI
1407374465
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
August 30, 2017
Last Updated
August 30, 2017

Practice Location

  • 3140 Sheridan Dr.
  • Suite 215
  • Amherst, NY 14228

Phone: (716) 949-2810

Mailing Address

  • 3140 Sheridan Dr. Suite 215
  • Amherst, NY 14228

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1407374465
Entity Type
Individual
Last Name
Vine
First Name
Alexis
Middle Name
Nicole
Name Prefix
MS.
Credential
LMT
Mailing Street Address
3140 Sheridan Dr. Suite 215
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228
Mailing Country
US
Mailing Phone
(716) 949-2810
Practice Street Address
3140 Sheridan Dr.
Practice Address Line 2
Suite 215
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228
Practice Country
US
Practice Phone
(716) 949-2810
Enumeration Date
August 30, 2017
Last Updated
August 30, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)