NPI 1457768962

Tara Laurenzi, LMTRYT

Practitioner Mechanotherapist Buffalo, NY

Practice location

Address: 752 Ashland Ave, Buffalo, NY 14222-1120
Phone: (716) 308-4285

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 011411-1 (NY)

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Registry record

NPI: 1457768962
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2014
Record last updated: 16 Jul 2014

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.