National Provider Identifier

Roger Zimmerman, LMT

Roger Zimmerman, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 632-4476.

NPI 1679797815Williamsville, NYMassage Therapist

Profile Overview

NPI
1679797815
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 6035 Main St
  • Williamsville, NY 14221-6865

Phone: (716) 632-4476

Mailing Address

  • 4430 Harris Hill RD
  • Buffalo, NY 14221-6232

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1679797815
Entity Type
Individual
Last Name
Zimmerman
First Name
Roger
Name Prefix
Mr.
Credential
LMT
Mailing Street Address
4430 Harris Hill RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221-6232
Mailing Country
US
Mailing Phone
(716) 632-5032
Practice Street Address
6035 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6865
Practice Country
US
Practice Phone
(716) 632-4476
Enumeration Date
April 12, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)