Individual provider · Type 1 NPI

Robert T. Detamble, LMT

Massage Therapist · Williamsville, NY

NPI number 1710285200 Active

Practice location

6245 Sheridan Dr, SUITE116
Williamsville, NY 14221-4834

Call (716) 573-6553 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X020131 (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 1710285200

Robert T. Detamble, LMT's National Provider Identifier is 1710285200, issued on Mar 7, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Mar 7, 2011.