National Provider Identifier

Jillian Kersten, LMT

Jillian Kersten, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Buffalo, NY and a listed phone number of (716) 862-1386.

NPI 1598108771Buffalo, NYMassage Therapist

Profile Overview

NPI
1598108771
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 08, 2013
Last Updated
April 08, 2013

Practice Location

  • 2157 Main St
  • Buffalo, NY 14214-2648

Phone: (716) 862-1386

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1598108771
Entity Type
Individual
Last Name
Kersten
First Name
Jillian
Credential
LMT
Mailing Street Address
2157 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2648
Mailing Country
US
Mailing Phone
(716) 862-1386
Mailing Fax
(716) 862-2009
Practice Street Address
2157 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2648
Practice Country
US
Practice Phone
(716) 862-1386
Practice Fax
(716) 862-2009
Enumeration Date
April 08, 2013
Last Updated
April 08, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)