Provider Type Icon

GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA NPI 1568850451


NPI Information

NPI: 1568850451
Provider Name: GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
142 LORELEE DR
TONAWANDA, NY
ZIP 14150
Phone: (716) 435-0020
Get Directions

GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA is a massage therapist in Tonawanda, NY. The provider is 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. GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA NPI is 1568850451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

142 LORELEE DR
TONAWANDA, NY
ZIP 14150-325
Phone: (716) 435-0020

The provider's authorized official is Laura Louise Zimberg .
The authorized official title is Owner/lmt and has the following contact phone number (716) 435-0020.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 12/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist018786NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018786OTHERNEW YORKNYS LMT LICENSE
21225201437OTHERNEW YORKNPI - INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.