Provider Demographics
NPI:1922424860
Name:RULE, CHARLENE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:
Last Name:RULE
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:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:ARCADE
Mailing Address - State:NY
Mailing Address - Zip Code:14009-0084
Mailing Address - Country:US
Mailing Address - Phone:716-353-2027
Mailing Address - Fax:
Practice Address - Street 1:12469 OLEAN RD
Practice Address - Street 2:SUITE #5
Practice Address - City:CHAFFEE
Practice Address - State:NY
Practice Address - Zip Code:14030-9752
Practice Address - Country:US
Practice Address - Phone:716-496-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022811-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist