National Provider Identifier
Jeremy Childs, LMT
Jeremy Childs, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Orchard Park, NY and a listed phone number of (716) 364-5623.
Profile Overview
- NPI
- 1598181083
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 09, 2014
- Last Updated
- March 09, 2014
Practice Location
- 3045 Southwestern Blvd
- Suite 102
- Orchard Park, NY 14127-1209
Phone: (716) 364-5623
Mailing Address
- 2148 Davis RD
- West Falls, NY 14170-9600
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1598181083
- Entity Type
- Individual
- Last Name
- Childs
- First Name
- Jeremy
- Credential
- LMT
- Mailing Street Address
- 2148 Davis RD
- Mailing City
- West Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14170-9600
- Mailing Country
- US
- Mailing Phone
- (716) 364-5623
- Practice Street Address
- 3045 Southwestern Blvd
- Practice Address Line 2
- Suite 102
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1209
- Practice Country
- US
- Practice Phone
- (716) 364-5623
- Enumeration Date
- March 09, 2014
- Last Updated
- March 09, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)