National Provider Identifier
Jill Anne Lang, LICENSED MASSAGE THE
Jill Anne Lang, LICENSED MASSAGE THE is listed in the NPPES registry with a primary specialty of Massage Therapist in Depew, NY and a listed phone number of (716) 507-3673.
Profile Overview
- NPI
- 1447920350
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 14, 2021
- Last Updated
- September 14, 2021
Practice Location
- 5132 Transit Road
- Depew, NY 14043
Phone: (716) 507-3673
Mailing Address
- 2784 Southwestern Blv.
- Buffalo, NY 14224
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1447920350
- Entity Type
- Individual
- Last Name
- Lang
- First Name
- Jill
- Middle Name
- Anne
- Name Prefix
- MS.
- Credential
- LICENSED MASSAGE THE
- Mailing Street Address
- 2784 Southwestern Blv.
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Mailing Phone
- (716) 507-3673
- Practice Street Address
- 5132 Transit Road
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043
- Practice Country
- US
- Practice Phone
- (716) 507-3673
- Enumeration Date
- September 14, 2021
- Last Updated
- September 14, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)