NPI 1013168541

Shania H Dzielak, LMT

Practitioner Massage Therapist Cicero, NY

Practice location

Address: 5797 State Route 31 Suite 1, Cicero, NY 13039-8337
Phone: (315) 699-4533
Mailing address: 5797 Route 31 Suite 1, Cicero, NY 13039

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 019213-1 (NY)

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Registry record

NPI: 1013168541
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2008
Record last updated: 2 Oct 2008

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.