National Provider Identifier
Michele Lee Vandertang, LICENSED MASSAGE THE
Michele Lee Vandertang, LICENSED MASSAGE THE is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 797-7645.
Profile Overview
- NPI
- 1508810490
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 22, 2006
- Last Updated
- July 08, 2007
Practice Location
- 738 Brown RD
- Rochester, NY 14622-2316
Phone: (585) 797-7645
Mailing Address
- 38 Quay Dr
- Rochester, NY 14617-1639
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1508810490
- Entity Type
- Individual
- Last Name
- Vandertang
- First Name
- Michele
- Middle Name
- Lee
- Name Prefix
- Mrs.
- Credential
- LICENSED MASSAGE THE
- Mailing Street Address
- 38 Quay Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-1639
- Mailing Country
- US
- Mailing Phone
- (585) 797-7645
- Practice Street Address
- 738 Brown RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14622-2316
- Practice Country
- US
- Practice Phone
- (585) 797-7645
- Enumeration Date
- May 22, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)