MEDICARE: MRS. KRISTIN QUINN LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	020079	NY

General Provider Information

NPI Number	:	1194950642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN QUINN LMT

Provider Business Mailing Address
First Line	:	15242 ARMES CT
Second Line	:
City	:	GOWANDA
State	:	NY
Zip	:	14070-9750
Country	:	US
Telephone Number	:	716-912-1208
Fax Number	:

Provider Business Practice Location Address
First Line	:	3911 N BUFFALO ST
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1841
Country	:	US
Telephone Number	:	716-204-6461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	07/29/2025

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