National Provider Identifier

Michele Gullo-Bakowski, LMT

Michele Gullo-Bakowski, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Clarence, NY and a listed phone number of (716) 868-9975.

NPI 1811369606Clarence, NYMassage Therapist

Profile Overview

NPI
1811369606
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
October 20, 2015
Last Updated
October 20, 2015

Practice Location

  • 10440 Main St
  • Ste 2
  • Clarence, NY 14031-1627

Phone: (716) 868-9975

Mailing Address

  • 7540 Salt RD
  • Clarence Center, NY 14032-9655

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1811369606
Entity Type
Individual
Last Name
Gullo-Bakowski
First Name
Michele
Credential
LMT
Mailing Street Address
7540 Salt RD
Mailing City
Clarence Center
Mailing State
NY
Mailing ZIP Code
14032-9655
Mailing Country
US
Mailing Phone
(716) 868-9975
Practice Street Address
10440 Main St
Practice Address Line 2
Ste 2
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-1627
Practice Country
US
Practice Phone
(716) 868-9975
Enumeration Date
October 20, 2015
Last Updated
October 20, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)