National Provider Identifier
Jacqueline Bontzolakes, LMT
Jacqueline Bontzolakes, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Tonawanda, NY and a listed phone number of (716) 874-2096.
Profile Overview
- NPI
- 1467767632
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- August 12, 2010
- Last Updated
- February 14, 2012
Practice Location
- 2696 Sheridan Dr
- Suite E And F
- Tonawanda, NY 14150-9441
Phone: (716) 874-2096
Mailing Address
- P.O. Box 22
- 224 Ensminger RD
- Tonawanda, NY 14151-0022
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1467767632
- Entity Type
- Individual
- Last Name
- Bontzolakes
- First Name
- Jacqueline
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- P.O. Box 22
- Mailing Address Line 2
- 224 Ensminger RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14151-0022
- Mailing Country
- US
- Mailing Phone
- (716) 874-2096
- Practice Street Address
- 2696 Sheridan Dr
- Practice Address Line 2
- Suite E And F
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9441
- Practice Country
- US
- Practice Phone
- (716) 874-2096
- Enumeration Date
- August 12, 2010
- Last Updated
- February 14, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)