Organization · Type 2 NPI

Green Pastures Still Waters, LLC

Massage Therapist · Buffalo, NY

NPI number 1467090803 Active

Practice location

1413 Hertel Ave Ste 1
Buffalo, NY 14216-2831

Call (716) 922-2772 Map

Mailing address

259 Greenhaven Ter
Tonawanda, NY 14150-5551

Other practice locations

2720 Eggert Rd, Tonawanda, NY 14150-8734 · (716) 435-0020

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	None listed

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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NPI record

NPI: 1467090803
Entity type: Organization (Type 2)
Issued: Dec 17, 2019
Last updated: Dec 17, 2019
Status: Active
Subpart: Yes of Green Pastures Still Waters, LLC

Other names

Green Pastures Still Waters Massage Therapy & Spa · former legal business name

Authorized official

Laura Louise Zimberg, LMT
Owner/lmt
(716) 435-0020

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467090803

Green Pastures Still Waters, LLC's National Provider Identifier is 1467090803, issued on Dec 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Buffalo, NY. The record was last updated on Dec 17, 2019.