National Provider Identifier
Bonnie K Madison, LMT
Bonnie K Madison, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Bliss, NY and a listed phone number of (585) 493-5271.
Profile Overview
- NPI
- 1518148675
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- November 16, 2007
- Last Updated
- November 16, 2007
Practice Location
- 4682 Telegraph RD
- Bliss, NY 14024-9626
Phone: (585) 493-5271
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1518148675
- Entity Type
- Individual
- Last Name
- Madison
- First Name
- Bonnie
- Middle Name
- K
- Credential
- LMT
- Mailing Street Address
- 4682 Telegraph RD
- Mailing City
- Bliss
- Mailing State
- NY
- Mailing ZIP Code
- 14024-9626
- Mailing Country
- US
- Mailing Phone
- (585) 493-5271
- Practice Street Address
- 4682 Telegraph RD
- Practice City
- Bliss
- Practice State
- NY
- Practice ZIP Code
- 14024-9626
- Practice Country
- US
- Practice Phone
- (585) 493-5271
- Enumeration Date
- November 16, 2007
- Last Updated
- November 16, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)