Provider Demographics
NPI:1073235552
Name:HILYARD WELLNESS MASSAGE THERAPY PLLC
Entity Type:Organization
Organization Name:HILYARD WELLNESS MASSAGE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLLC MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILYARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:716-970-5151
Mailing Address - Street 1:60 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9407
Mailing Address - Country:US
Mailing Address - Phone:716-970-5151
Mailing Address - Fax:
Practice Address - Street 1:8201 MAIN ST.
Practice Address - Street 2:SUITE 7
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6046
Practice Address - Country:US
Practice Address - Phone:716-970-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty