National Provider Identifier
Gina M Boldt, L.M.T
Gina M Boldt, L.M.T 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.
Profile Overview
- NPI
- 1942598107
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- July 20, 2011
- Last Updated
- July 20, 2011
Practice Location
- 400 International Dr
- Williamsville, NY 14221-5760
Phone: (716) 631-1516
Mailing Address
- 12740 Koepsel RD
- Akron, NY 14001-9628
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1942598107
- Entity Type
- Individual
- Last Name
- Boldt
- First Name
- Gina
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- L.M.T
- Mailing Street Address
- 12740 Koepsel RD
- Mailing City
- Akron
- Mailing State
- NY
- Mailing ZIP Code
- 14001-9628
- Mailing Country
- US
- Mailing Phone
- (716) 442-5442
- Practice Street Address
- 400 International Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5760
- Practice Country
- US
- Practice Phone
- (716) 631-1516
- Enumeration Date
- July 20, 2011
- Last Updated
- July 20, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)