National Provider Identifier

Kim Elizabeth Burnham-Fechner, L.M.T., L.V.T.

Kim Elizabeth Burnham-Fechner, L.M.T., L.V.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Lewiston, NY and a listed phone number of (716) 628-4636.

NPI 1801082862Lewiston, NYMassage Therapist

Profile Overview

NPI
1801082862
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
September 23, 2007
Last Updated
September 23, 2007

Practice Location

  • 736 Center St
  • Lewiston, NY 14092-1706

Phone: (716) 628-4636

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1801082862
Entity Type
Individual
Last Name
Burnham-Fechner
First Name
Kim
Middle Name
Elizabeth
Name Prefix
MS.
Credential
L.M.T., L.V.T.
Mailing Street Address
736 Center St
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092-1706
Mailing Country
US
Mailing Phone
(716) 628-4636
Practice Street Address
736 Center St
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1706
Practice Country
US
Practice Phone
(716) 628-4636
Enumeration Date
September 23, 2007
Last Updated
September 23, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)