MEDICARE: BRIAN VANDEMORTEL 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	015813	NY

General Provider Information

NPI Number	:	1568422715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN VANDEMORTEL LMT

Provider Business Mailing Address
First Line	:	1072 EVERWILD VW
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-8741
Country	:	US
Telephone Number	:	585-872-3256
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 NORTH AVE
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-3056
Country	:	US
Telephone Number	:	585-329-0887
Fax Number	:

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1700915865 — MRS. TONYA RAE COLBURN LMT
Practice Location Address:

40 NORTH AVE
WEBSTER, NY
14580-3056

Practice Phone: 585-330-2832
Practice Fax:

1477894244 — ENTRUSTED COUNSELING SERVICES, LLC
Practice Location Address:

2317 WEBSTER ST
RACINE, WI
53403-3056

Practice Phone: 262-960-1548
Practice Fax:

1982925491 — JENNIFER TIBBENS-SCALZO MD
Practice Location Address:

1150 CROSSPOINTE LN STE 1B
WEBSTER, NY
14580-2995

Practice Phone: 585-667-5750
Practice Fax: 585-378-3490

1669324240 — BRIAN DAVID ATKINSON
Practice Location Address:

1376 VIKING CIR
WEBSTER, NY
14580-8544

Practice Phone: 315-292-3615
Practice Fax:

1821271784 — MRS. EMILY CONRAD JOHNSTON RPA-C
Practice Location Address:

1550 EMPIRE BLVD
WEBSTER, NY
14580-2104

Practice Phone: 585-922-2214
Practice Fax: 585-922-2388

1659673960 — DIANA S LEE-RANDALL LCSW
Practice Location Address:

807 RIDGE RD STE 203
WEBSTER, NY
14580-2497

Practice Phone: 585-261-0388
Practice Fax:

Directions to “ BRIAN VANDEMORTEL LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.