National Provider Identifier
Robert T Detamble, LMT
Robert T Detamble, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 573-6553.
Profile Overview
- NPI
- 1710285200
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 07, 2011
- Last Updated
- March 07, 2011
Practice Location
- 6245 Sheridan Dr
- Suite116
- Williamsville, NY 14221-4834
Phone: (716) 573-6553
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1710285200
- Entity Type
- Individual
- Last Name
- Detamble
- First Name
- Robert
- Middle Name
- T
- Credential
- LMT
- Mailing Street Address
- 6245 Sheridan Dr
- Mailing Address Line 2
- Suite116
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4834
- Mailing Country
- US
- Mailing Phone
- (716) 573-6553
- Practice Street Address
- 6245 Sheridan Dr
- Practice Address Line 2
- Suite116
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4834
- Practice Country
- US
- Practice Phone
- (716) 573-6553
- Enumeration Date
- March 07, 2011
- Last Updated
- March 07, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)