National Provider Identifier

Alyssa Korinne Davis, LMT

Alyssa Korinne Davis, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Victor, NY and a listed phone number of (585) 430-8546.

NPI 1407545858Victor, NYMassage Therapist

Profile Overview

NPI
1407545858
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
May 02, 2023
Last Updated
May 02, 2023

Practice Location

  • 7353 State Route 96
  • Bldg 1, Suite 103A
  • Victor, NY 14564

Phone: (585) 430-8546

Mailing Address

  • 213 Ontario Street Ext
  • Canandaigua, NY 14424-1831

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1407545858
Entity Type
Individual
Last Name
Davis
First Name
Alyssa
Middle Name
Korinne
Credential
LMT
Mailing Street Address
213 Ontario Street Ext
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1831
Mailing Country
US
Mailing Phone
(585) 430-8546
Practice Street Address
7353 State Route 96
Practice Address Line 2
Bldg 1, Suite 103A
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564
Practice Country
US
Practice Phone
(585) 430-8546
Enumeration Date
May 02, 2023
Last Updated
May 02, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
May 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)