NPI 1174843627 · live from the CMS NPI Registry
Doris Marie Ackerman, LMT
Massage Therapist in Canastota, NY. National Provider Identifier 1174843627, active.
NPI record
| NPI | 1174843627 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 9373 Lewis Point Rd, Canastota, NY 13032 |
| Practice phone | 315-697-9334 |
| Mailing address | 9373 Lewis Point Rd, P.O. Box 655, Canastota, NY 13032 |
| Enumerated | June 7, 2010 |
| Last updated | June 7, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 011682-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.