National Provider Identifier
Breanna Friedersdorf, LMT
Breanna Friedersdorf, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 909-4614.
Profile Overview
- NPI
- 1568226355
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- February 12, 2024
- Last Updated
- February 12, 2024
Practice Location
- 501 Delaware Ave
- Buffalo, NY 14202-1303
Phone: (716) 909-4614
Mailing Address
- 5439 Stilwell RD
- Hamburg, NY 14075-5816
Specialties
- Massage Therapist (225700000X)
- Doula (374J00000X)
Full Record
- NPI
- 1568226355
- Entity Type
- Individual
- Last Name
- Friedersdorf
- First Name
- Breanna
- Credential
- LMT
- Mailing Street Address
- 5439 Stilwell RD
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5816
- Mailing Country
- US
- Mailing Phone
- (716) 909-4614
- Practice Street Address
- 501 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1303
- Practice Country
- US
- Practice Phone
- (716) 909-4614
- Enumeration Date
- February 12, 2024
- Last Updated
- February 12, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X), Doula (374J00000X)