Provider Demographics
NPI:1558838987
Name:LESEMAN, HANNAH REBEKAH (LMT)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:REBEKAH
Last Name:LESEMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:CANDOR
Mailing Address - State:NY
Mailing Address - Zip Code:13743-1923
Mailing Address - Country:US
Mailing Address - Phone:607-422-8859
Mailing Address - Fax:
Practice Address - Street 1:4129 OLD VESTAL RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3532
Practice Address - Country:US
Practice Address - Phone:607-422-8859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029240225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist