National Provider Identifier

Rachel Ann Derenda, LMT

Rachel Ann Derenda, LMT is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (716) 626-4466.

NPI 1477803799Williamsville, NYSpecialist

Profile Overview

NPI
1477803799
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 13, 2012
Last Updated
September 13, 2012

Practice Location

  • 5225 Sheridan Dr
  • Williamsville, NY 14221-3573

Phone: (716) 626-4466

Mailing Address

  • 1433 Como Park Blvd
  • Depew, NY 14043-4406

Specialties

  • Specialist (174400000X)
Full Record
NPI
1477803799
Entity Type
Individual
Last Name
Derenda
First Name
Rachel
Middle Name
Ann
Name Prefix
Miss
Credential
LMT
Mailing Street Address
1433 Como Park Blvd
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-4406
Mailing Country
US
Mailing Phone
(716) 462-9233
Practice Street Address
5225 Sheridan Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3573
Practice Country
US
Practice Phone
(716) 626-4466
Enumeration Date
September 13, 2012
Last Updated
September 13, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)