National Provider Identifier

Pamela Wagner, L.M.T.

Pamela Wagner, L.M.T. is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 432-3217.

NPI 1740433309Tonawanda, NYSpecialist

Profile Overview

NPI
1740433309
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 28, 2008
Last Updated
October 28, 2008

Practice Location

  • 2577 Sheridan Dr
  • Tonawanda, NY 14150-9411

Phone: (716) 432-3217

Mailing Address

  • 423 Borden RD
  • Buffalo, NY 14224-1723

Specialties

  • Specialist (174400000X)
Full Record
NPI
1740433309
Entity Type
Individual
Last Name
Wagner
First Name
Pamela
Credential
L.M.T.
Mailing Street Address
423 Borden RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14224-1723
Mailing Country
US
Mailing Phone
(716) 432-3217
Practice Street Address
2577 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9411
Practice Country
US
Practice Phone
(716) 432-3217
Enumeration Date
October 28, 2008
Last Updated
October 28, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)