THERESA M DEROSE LMT NPI 1982997888

NPI Information

  • NPI: 1982997888
  • Provider Name: THERESA M DEROSE, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 704 BEACH RD
    CHEEKTOWAGA, NY
    ZIP 14225
  • Phone: (716) 866-4452

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NPI Details

Theresa M Derose, LMT is a massage therapist in Cheektowaga, 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. Theresa M Derose, LMT NPI is 1982997888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

704 BEACH RD
CHEEKTOWAGA, NY
ZIP 14225-756
Phone: (716) 866-4452
Fax: (716) 632-2492

The enumeration date for this NPI number is 5/25/2011 and was last updated on 5/25/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist018335-1NEW YORKYes

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: 3/30/2025

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