Robert T Detamble, LMT
Massage Therapist in Williamsville, NY. Individual provider (NPI-1).
NPI number1710285200
StatusActive
Last updated in NPPESMar 7, 2011
Details
- NPI
- 1710285200
- Entity type
- Individual (NPI-1)
- Name
- Robert T Detamble
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2011
- Last updated
- Mar 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 020131 | NY | Yes |
Practice location
6245 Sheridan DrSuite116
Williamsville, NY 14221-4834
Phone 716-573-6553
Mailing address
6245 Sheridan DrSuite116
Williamsville, NY 14221-4834
Phone 716-573-6553
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All 86 Massage Therapist providers in Williamsville · All 4,124 providers in Williamsville
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