NPI 1003102096

Jonathan P Wascak, LMT

Practitioner Massage Therapist Hamburg, NY

Practice location

Address: 4269 Saint Francis Dr, Hamburg, NY 14075-1724
Phone: (716) 627-3668
Fax: (716) 627-2332

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 016680-1 (NY)

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Registry record

NPI: 1003102096
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2011
Record last updated: 28 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.