MEDICARE: MRS. JANE G MEECH 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	008451-1	NY

General Provider Information

NPI Number	:	1699811307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANE G MEECH LMT

Provider Business Mailing Address
First Line	:	4201 N BUFFALO RD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-2402
Country	:	US
Telephone Number	:	716-662-2713
Fax Number	:	716-655-0522

Provider Business Practice Location Address
First Line	:	4201 N BUFFALO RD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-2402
Country	:	US
Telephone Number	:	716-662-2713
Fax Number	:	716-655-0522

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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