Provider Demographics
NPI:1578708665
Name:HASTINGS, DEBORAH JANE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JANE
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MARKET ST
Mailing Address - Street 2:BEWLEY BUILDING, SUITE 423
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-2914
Mailing Address - Country:US
Mailing Address - Phone:716-531-0437
Mailing Address - Fax:
Practice Address - Street 1:12 MARKET ST
Practice Address - Street 2:BEWLEY BUILDING, SUITE 423
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2914
Practice Address - Country:US
Practice Address - Phone:716-531-0437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022307-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist