National Provider Identifier
Stephanie Jimerson, LMT
Stephanie Jimerson, LMT is listed in the NPPES registry with a primary specialty of Mechanotherapist in Buffalo, NY and a listed phone number of (716) 806-8210.
Profile Overview
- NPI
- 1891480943
- Provider Type
- Individual
- Primary Specialty
- Mechanotherapist
- Enumeration Date
- April 05, 2023
- Last Updated
- April 05, 2023
Practice Location
- 767 Mineral Springs RD
- Buffalo, NY 14224-1053
Phone: (716) 806-8210
Mailing Address
- 25 Gorski St
- Buffalo, NY 14206-3514
Specialties
- Mechanotherapist (172M00000X)
Full Record
- NPI
- 1891480943
- Entity Type
- Individual
- Last Name
- Jimerson
- First Name
- Stephanie
- Credential
- LMT
- Mailing Street Address
- 25 Gorski St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-3514
- Mailing Country
- US
- Mailing Phone
- (716) 806-8210
- Practice Street Address
- 767 Mineral Springs RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14224-1053
- Practice Country
- US
- Practice Phone
- (716) 806-8210
- Enumeration Date
- April 05, 2023
- Last Updated
- April 05, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mechanotherapist (172M00000X)
- Other Identifiers
- BW48793V (NY)