Individual provider · Type 1 NPI

Theresa M. Derose, LMT

Massage Therapist · Cheektowaga, NY

NPI number 1982997888 Active

Practice location

704 Beach Rd
Cheektowaga, NY 14225-1756

Call (716) 866-4452 Map

Fax (716) 632-2492

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018335-1 (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 1982997888

Theresa M. Derose, LMT's National Provider Identifier is 1982997888, issued on May 25, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cheektowaga, NY. The record was last updated on May 25, 2011.