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Mrs. Deidre Medina, LMT
Massage Therapist in Buffalo, New York
NPI 1942616230

Deidre Medina is a Massage Therapist based in Buffalo, NY. Deidre Medina practices in Buffalo, NY and has the professional credentials of LMT. The NPI Number for Deidre Medina is 1942616230 and holds a License No. 017782 (New York).

The current practice location address for Deidre Medina is 120 Eller Ave, Buffalo, NY and can be reached out via phone at 716-292-6113.

Location: 120 Eller Ave, Buffalo, NY, 14211-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942616230
Provider Name
Deidre Medina
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
120 Eller Ave, Buffalo, NY, 14211-2115
Phone Number
716-292-6113
Fax Number
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Eller Ave
City
Buffalo
State
New York
Zip
14211-2115
Phone Number
716-292-6113
Fax Number
person
Provider Business Mailing Address Details
Address
120 Eller Ave
City
Buffalo
State
New York
Zip
14211-2115
Phone Number
716-292-6113
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
017782 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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