Provider Demographics
NPI:1346504669
Name:DOSSETT, JENNIFER PERLETTE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:PERLETTE
Last Name:DOSSETT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:PERLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:14 WINDCREST DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2520
Mailing Address - Country:US
Mailing Address - Phone:716-510-2550
Mailing Address - Fax:
Practice Address - Street 1:3648 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3400
Practice Address - Country:US
Practice Address - Phone:716-771-1354
Practice Address - Fax:716-771-1562
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024965225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist