Provider Demographics
NPI:1568017952
Name:HUART, MARGAUX CLAIRE (LMT)
Entity Type:Individual
Prefix:
First Name:MARGAUX
Middle Name:CLAIRE
Last Name:HUART
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 1:232 VINE LN UPPR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1844
Mailing Address - Country:US
Mailing Address - Phone:716-908-1143
Mailing Address - Fax:
Practice Address - Street 1:2318 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7021
Practice Address - Country:US
Practice Address - Phone:716-616-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-03
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031228225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist