National Provider Identifier
Jenna Elizabeth Rose Young, LMT
Jenna Elizabeth Rose Young, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 970-5151.
Profile Overview
- NPI
- 1720809593
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 23, 2024
- Last Updated
- October 29, 2024
Practice Location
- 8201 Main St
- Suite 7
- Williamsville, NY 14221
Phone: (716) 970-5151
Mailing Address
- 22 Van Buren St
- Apt 1
- Lockport, NY 14094
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1720809593
- Entity Type
- Individual
- Last Name
- Young
- First Name
- Jenna
- Middle Name
- Elizabeth Rose
- Credential
- LMT
- Mailing Street Address
- 22 Van Buren St
- Mailing Address Line 2
- Apt 1
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094
- Mailing Country
- US
- Mailing Phone
- (716) 248-0691
- Practice Street Address
- 8201 Main St
- Practice Address Line 2
- Suite 7
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 970-5151
- Enumeration Date
- October 23, 2024
- Last Updated
- October 29, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)