National Provider Identifier

Shanthy Jayakumar, LMT

Shanthy Jayakumar, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 636-1679.

NPI 1508155342Buffalo, NYMassage Therapist

Profile Overview

NPI
1508155342
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 01, 2011
Last Updated
April 01, 2011

Practice Location

  • 466 Niagara Falls Blvd
  • Buffalo, NY 14223-2623

Phone: (716) 636-1679

Mailing Address

  • 159 Brockmoore Dr
  • East Amherst, NY 14051-2138

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1508155342
Entity Type
Individual
Last Name
Jayakumar
First Name
Shanthy
Credential
LMT
Mailing Street Address
159 Brockmoore Dr
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-2138
Mailing Country
US
Mailing Phone
(716) 636-1679
Practice Street Address
466 Niagara Falls Blvd
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14223-2623
Practice Country
US
Practice Phone
(716) 636-1679
Enumeration Date
April 01, 2011
Last Updated
April 01, 2011
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)