National Provider Identifier

Trista Leanne Kucewicz, LMT

Trista Leanne Kucewicz, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 631-1516.

NPI 1871085399Williamsville, NYMassage Therapist

Profile Overview

NPI
1871085399
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
May 31, 2018
Last Updated
May 31, 2018

Practice Location

  • 400 International Dr
  • Williamsville, NY 14221-5771

Phone: (716) 631-1516

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1871085399
Entity Type
Individual
Last Name
Kucewicz
First Name
Trista
Middle Name
Leanne
Credential
LMT
Mailing Street Address
400 International Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5771
Mailing Country
US
Mailing Phone
(716) 631-1516
Practice Street Address
400 International Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5771
Practice Country
US
Practice Phone
(716) 631-1516
Enumeration Date
May 31, 2018
Last Updated
May 31, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)