National Provider Identifier
Lisa Pivonka, LMT
Lisa Pivonka, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Springville, NY and a listed phone number of (716) 353-2222.
Profile Overview
- NPI
- 1538538566
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 21, 2015
- Last Updated
- July 06, 2016
Practice Location
- 500 S Cascade Dr
- Springville, NY 14141-9278
Phone: (716) 353-2222
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1538538566
- Entity Type
- Individual
- Last Name
- Pivonka
- First Name
- Lisa
- Credential
- LMT
- Mailing Street Address
- 500 S Cascade Dr
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-9278
- Mailing Country
- US
- Practice Street Address
- 500 S Cascade Dr
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9278
- Practice Country
- US
- Practice Phone
- (716) 353-2222
- Enumeration Date
- September 21, 2015
- Last Updated
- July 06, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)