Patricia Ann Fenzel, MT
Individual provider Active NPI Massage Therapist · West Senca, NY
NPI 1164944260 · NPPES record last updated Jul 10, 2017
Key facts
- NPI
- 1164944260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 019641 (NY)
- Practice address
- 1909 Union Road
West Senca, NY 14224 - Phone
- (716) 675-3380
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019641 | NY | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 019641 | NY | Yes |
Addresses
Primary practice location
1909 Union Road
West Senca, NY 14224
Mailing address
1909 Union Rd
West Seneca, NY 14224-2013
Phone (716) 675-3380
Other providers in West Senca, NY
All providers in West Senca, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.