Provider Demographics
NPI:1770793671
Name:LIVING WELL MASSAGE THERAPY, LLP
Entity type:Organization
Organization Name:LIVING WELL MASSAGE THERAPY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORFFEO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LMT
Authorized Official - Phone:716-834-6001
Mailing Address - Street 1:2122 EGGERT RD STE 1
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2004
Mailing Address - Country:US
Mailing Address - Phone:716-834-6001
Mailing Address - Fax:716-362-0559
Practice Address - Street 1:2122 EGGERT RD STE 1
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-2004
Practice Address - Country:US
Practice Address - Phone:716-834-6001
Practice Address - Fax:716-362-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty