National Provider Identifier
Sue Ann Williams, LMT/COTA
Sue Ann Williams, LMT/COTA is listed in the NPPES registry with a primary specialty of Massage Therapist in Warsaw, NY and a listed phone number of (585) 727-6480.
Profile Overview
- NPI
- 1790875078
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 15, 2006
- Last Updated
- January 24, 2013
Practice Location
- 433 N Main St
- Warsaw, NY 14569-1029
Phone: (585) 727-6480
Mailing Address
- 433 North Main Street
- Warsaw, NY 14569
Specialties
- Massage Therapist (225700000X)
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1790875078
- Entity Type
- Individual
- Last Name
- Williams
- First Name
- Sue
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- LMT/COTA
- Provider Other Last Name
- Robb/Diebold
- Provider Other First Name
- Sue
- Provider Other Middle Name
- Ann
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LMT/COTA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 433 North Main Street
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569
- Mailing Country
- US
- Mailing Phone
- (585) 727-6480
- Mailing Fax
- (585) 786-2465
- Practice Street Address
- 433 N Main St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1029
- Practice Country
- US
- Practice Phone
- (585) 727-6480
- Enumeration Date
- October 15, 2006
- Last Updated
- January 24, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X), Occupational Therapy Assistant (224Z00000X)
- Other Identifiers
- 27025601 (NY, Univera)