National Provider Identifier

Suzanne Mary Cardner, NYS LMT

Suzanne Mary Cardner, NYS LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 305-4798.

NPI 1770079238Fairport, NYMassage Therapist

Profile Overview

NPI
1770079238
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 09, 2018
Last Updated
July 09, 2018

Practice Location

  • 220 Village Lndg
  • Fairport, NY 14450-1806

Phone: (585) 305-4798

Mailing Address

  • 144 W Ivy St
  • East Rochester, NY 14445-1816

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1770079238
Entity Type
Individual
Last Name
Cardner
First Name
Suzanne
Middle Name
Mary
Credential
NYS LMT
Mailing Street Address
144 W Ivy St
Mailing City
East Rochester
Mailing State
NY
Mailing ZIP Code
14445-1816
Mailing Country
US
Practice Street Address
220 Village Lndg
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1806
Practice Country
US
Practice Phone
(585) 305-4798
Enumeration Date
July 09, 2018
Last Updated
July 09, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)