National Provider Identifier

Carolyn Sue Wheeler, LMT

Carolyn Sue Wheeler, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Webster, NY and a listed phone number of (585) 414-6610.

NPI 1679780795Webster, NYMassage Therapist

Profile Overview

NPI
1679780795
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
May 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 195 North Ave
  • Webster, NY 14580-3064

Phone: (585) 414-6610

Mailing Address

  • 501 Brixton Trl
  • Webster, NY 14580-9442

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1679780795
Entity Type
Individual
Last Name
Wheeler
First Name
Carolyn
Middle Name
Sue
Name Prefix
Mrs.
Credential
LMT
Mailing Street Address
501 Brixton Trl
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-9442
Mailing Country
US
Mailing Phone
(585) 265-9009
Practice Street Address
195 North Ave
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-3064
Practice Country
US
Practice Phone
(585) 414-6610
Enumeration Date
May 17, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)
Other Identifiers
014423-1 (NY, Nys License Number)