NPI 1184196461

Koehler Leslie Radder, MASSAGETHERAPIST

Practitioner Massage Therapist West Seneca, NY

Practice location

Address: 4214 Clinton St, West Seneca, NY 14224-1606
Phone: (716) 675-2225

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 030336 (NY)

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Registry record

NPI: 1184196461
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2018
Record last updated: 26 Dec 2018

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.