Provider Demographics
NPI:1073237335
Name:UNIVERSAL STRENGTH WELLNESS LLC
Entity Type:Organization
Organization Name:UNIVERSAL STRENGTH WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED MESSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KRYSTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CWYNAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:716-464-3285
Mailing Address - Street 1:2140 EGGERT ROAD
Mailing Address - Street 2:SUITE I
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-464-3285
Mailing Address - Fax:
Practice Address - Street 1:2140 EGGERT ROAD
Practice Address - Street 2:SUITE I
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-464-3285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty