NPI 1891480943

Stephanie Jimerson, LMT

Practitioner Mechanotherapist Buffalo, NY

Practice location

Address: 767 Mineral Springs Rd, Buffalo, NY 14224-1053
Phone: (716) 806-8210
Mailing address: 25 Gorski St, Buffalo, NY 14206-3514

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 031945-01

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Registry record

NPI: 1891480943
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2023
Record last updated: 5 Apr 2023

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.