National Provider Identifier
Jordan Velazquez, LMT
Jordan Velazquez, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 292-5812.
Profile Overview
- NPI
- 1528800364
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- June 12, 2024
- Last Updated
- June 12, 2024
Practice Location
- 148 Elmwood Ave
- Buffalo, NY 14201-1450
Phone: (716) 292-5812
Mailing Address
- 1072 E Lovejoy St
- Buffalo, NY 14206-1125
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1528800364
- Entity Type
- Individual
- Last Name
- Velazquez
- First Name
- Jordan
- Credential
- LMT
- Mailing Street Address
- 1072 E Lovejoy St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1125
- Mailing Country
- US
- Mailing Phone
- (716) 292-5812
- Practice Street Address
- 148 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1450
- Practice Country
- US
- Practice Phone
- (716) 292-5812
- Enumeration Date
- June 12, 2024
- Last Updated
- June 12, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)