National Provider Identifier

Jamila Gonzalez, L.M.T.

Jamila Gonzalez, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 967-8438.

NPI 1588091482Fairport, NYMassage Therapist

Profile Overview

NPI
1588091482
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
October 09, 2013
Last Updated
October 09, 2013

Practice Location

  • 6800 Pittsford Palmyra RD Ste 420
  • Fairport, NY 14450-3520

Phone: (585) 967-8438

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1588091482
Entity Type
Individual
Last Name
Gonzalez
First Name
Jamila
Credential
L.M.T.
Mailing Street Address
6800 Pittsford Palmyra RD Ste 420
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3520
Mailing Country
US
Mailing Phone
(585) 967-8438
Practice Street Address
6800 Pittsford Palmyra RD Ste 420
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3520
Practice Country
US
Practice Phone
(585) 967-8438
Enumeration Date
October 09, 2013
Last Updated
October 09, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)