National Provider Identifier

Miranda Hensen, LMT

Miranda Hensen, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 329-9993.

NPI 1548070477Williamsville, NYMassage Therapist

Profile Overview

NPI
1548070477
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
January 13, 2025
Last Updated
February 23, 2025

Practice Location

  • 8860 Main St
  • Williamsville, NY 14221-7640

Phone: (716) 329-9993

Mailing Address

  • 5265 William St
  • Lancaster, NY 14086-9305

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1548070477
Entity Type
Individual
Last Name
Hensen
First Name
Miranda
Credential
LMT
Mailing Street Address
5265 William St
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-9305
Mailing Country
US
Mailing Phone
(716) 435-4696
Practice Street Address
8860 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7640
Practice Country
US
Practice Phone
(716) 329-9993
Enumeration Date
January 13, 2025
Last Updated
February 23, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
February 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)