Provider Demographics
NPI:1376767756
Name:FIX, JAMES (LMT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:FIX
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:113 BARNSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1103
Mailing Address - Country:US
Mailing Address - Phone:716-824-9291
Mailing Address - Fax:
Practice Address - Street 1:246 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5104
Practice Address - Country:US
Practice Address - Phone:716-649-7082
Practice Address - Fax:716-649-7082
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist