National Provider Identifier
Phillip Wackerfuss, LMT
Phillip Wackerfuss, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 626-4466.
Profile Overview
- NPI
- 1790151678
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- August 14, 2015
- Last Updated
- August 14, 2015
Practice Location
- 5225 Sheridan Dr
- Williamsville, NY 14221-3573
Phone: (716) 626-4466
Mailing Address
- 86 Livingston St
- Buffalo, NY 14213-1653
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1790151678
- Entity Type
- Individual
- Last Name
- Wackerfuss
- First Name
- Phillip
- Credential
- LMT
- Mailing Street Address
- 86 Livingston St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1653
- Mailing Country
- US
- Mailing Phone
- (847) 722-7014
- Practice Street Address
- 5225 Sheridan Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3573
- Practice Country
- US
- Practice Phone
- (716) 626-4466
- Enumeration Date
- August 14, 2015
- Last Updated
- August 14, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)