Individual provider · Type 1 NPI

Scott Joesph Ickowski, LMT

Massage Therapist · Kenmore, NY

NPI number 1316792765 Active

Practice location

989 Kenmore Ave
Kenmore, NY 14217-2924

Call (716) 335-9711 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X032805-01 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1316792765

Scott Joesph Ickowski, LMT's National Provider Identifier is 1316792765, issued on Apr 19, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, NY. The record was last updated on Apr 19, 2024.