Individual provider · Type 1 NPI

Mak Mansouri, LMT

Massage Therapist · Williamsville, NY

NPI number 1699003970 Active

Practice location

8290 Main St
Williamsville, NY 14221-6131

Call (716) 634-5950 Map

Mailing address

1199 Maple Rd
Williamsville, NY 14221-3441

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X013549-1 (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 1699003970

Mak Mansouri, LMT's National Provider Identifier is 1699003970, issued on Nov 25, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Mar 23, 2011.