National Provider Identifier
Caroline Marie Carballa, LMT
Caroline Marie Carballa, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Gasport, NY and a listed phone number of (716) 772-2200.
Profile Overview
- NPI
- 1790120020
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 30, 2013
- Last Updated
- April 30, 2013
Practice Location
- 4437 Main St
- Gasport, NY 14067-9201
Phone: (716) 772-2200
Mailing Address
- PO Box 281
- Gasport, NY 14067-0281
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1790120020
- Entity Type
- Individual
- Last Name
- Carballa
- First Name
- Caroline
- Middle Name
- Marie
- Credential
- LMT
- Mailing Street Address
- PO Box 281
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067-0281
- Mailing Country
- US
- Mailing Phone
- (716) 772-2200
- Practice Street Address
- 4437 Main St
- Practice City
- Gasport
- Practice State
- NY
- Practice ZIP Code
- 14067-9201
- Practice Country
- US
- Practice Phone
- (716) 772-2200
- Enumeration Date
- April 30, 2013
- Last Updated
- April 30, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)