National Provider Identifier

Nathan Perry Moran Jr., LMT

Nathan Perry Moran Jr., LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in East Amherst, NY and a listed phone number of (716) 688-9299.

NPI 1457648735East Amherst, NYMassage Therapist

Profile Overview

NPI
1457648735
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 07, 2011
Last Updated
June 26, 2013

Practice Location

  • 5849 Transit RD
  • East Amherst, NY 14051-1885

Phone: (716) 688-9299

Mailing Address

  • 55 Blossom RD
  • West Seneca, NY 14224-2501

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1457648735
Entity Type
Individual
Last Name
Moran
First Name
Nathan
Middle Name
Perry
Name Prefix
Mr.
Name Suffix
Jr.
Credential
LMT
Mailing Street Address
55 Blossom RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-2501
Mailing Country
US
Mailing Phone
(716) 228-4484
Practice Street Address
5849 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1885
Practice Country
US
Practice Phone
(716) 688-9299
Enumeration Date
July 07, 2011
Last Updated
June 26, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
12273891 (NY, Caqh Id)