National Provider Identifier

Jennifer Ann Maher, LMT

Jennifer Ann Maher, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Brockport, NY and a listed phone number of (585) 802-4692.

NPI 1578723391Brockport, NYMassage Therapist

Profile Overview

NPI
1578723391
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
June 16, 2008
Last Updated
June 16, 2008

Practice Location

  • 29 Clinton St
  • Brockport, NY 14420-1803

Phone: (585) 802-4692

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1578723391
Entity Type
Individual
Last Name
Maher
First Name
Jennifer
Middle Name
Ann
Name Prefix
Miss
Credential
LMT
Mailing Street Address
29 Clinton St
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1803
Mailing Country
US
Mailing Phone
(585) 802-4692
Practice Street Address
29 Clinton St
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1803
Practice Country
US
Practice Phone
(585) 802-4692
Enumeration Date
June 16, 2008
Last Updated
June 16, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)