Provider Demographics
NPI:1699811307
Name:MEECH, JANE G (LMT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:G
Last Name:MEECH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4201 N BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2402
Mailing Address - Country:US
Mailing Address - Phone:716-662-2713
Mailing Address - Fax:716-655-0522
Practice Address - Street 1:4201 N BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2402
Practice Address - Country:US
Practice Address - Phone:716-662-2713
Practice Address - Fax:716-655-0522
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008451-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist