Provider Demographics
NPI:1457649469
Name:NIGHTINGALE, MARGARET (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:NIGHTINGALE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 EAST AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2192
Mailing Address - Country:US
Mailing Address - Phone:585-442-1580
Mailing Address - Fax:585-442-3935
Practice Address - Street 1:720 EAST AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2192
Practice Address - Country:US
Practice Address - Phone:585-442-1580
Practice Address - Fax:585-442-3935
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012230225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist