National Provider Identifier
Mak Mansouri, LMT
Mak Mansouri, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 634-5950.
Profile Overview
- NPI
- 1699003970
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- November 25, 2009
- Last Updated
- March 23, 2011
Practice Location
- 8290 Main St
- Williamsville, NY 14221-6131
Phone: (716) 634-5950
Mailing Address
- 1199 Maple RD
- Williamsville, NY 14221-3441
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1699003970
- Entity Type
- Individual
- Last Name
- Mansouri
- First Name
- Mak
- Credential
- LMT
- Mailing Street Address
- 1199 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3441
- Mailing Country
- US
- Practice Street Address
- 8290 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6131
- Practice Country
- US
- Practice Phone
- (716) 634-5950
- Enumeration Date
- November 25, 2009
- Last Updated
- March 23, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)