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NPI Code Detail

MEDICARE: CRYSTAL OHNMEISS LMT

MEDICARE: CRYSTAL OHNMEISS 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
1225700000XMassage Therapist028813NY

General Provider Information

NPI Number : 1245690684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL OHNMEISS LMT
Provider Business Mailing Address
First Line : 1923 SENECA ST
Second Line : UPPER LEVEL
City : BUFFALO
State : NY
Zip : 14210-1852
Country : US
Telephone Number : 716-253-1561
Fax Number : 716-931-9470
Provider Business Practice Location Address
First Line : 1923 SENECA ST
Second Line : UPPER LEVEL
City : BUFFALO
State : NY
Zip : 14210-1852
Country : US
Telephone Number : 716-253-1561
Fax Number : 716-931-9470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2016
Last Update Date : 03/15/2017

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Directions to “ CRYSTAL OHNMEISS LMT” Practice Location

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