Individual provider · Type 1 NPI
Lori Ann Randles, LMT
Massage Therapist · Williamsville, NY
NPI number
1609041771
Active
Practice location
5136 Sheridan Dr Ste 1
Williamsville, NY 14221-4647
Mailing address
49 Park Drive
Williamsville, NY 14221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0164661 (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 1609041771
Lori Ann Randles, LMT's National Provider Identifier is 1609041771, issued on Apr 29, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Dec 3, 2012.