Joanne Bennett Timkey, L.M.T.

Individual provider Active NPI Massage Therapist · Ellicottville, NY

NPI 1376773176 · NPPES record last updated Jul 15, 2009

Key facts

NPI
1376773176
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
015127-1 (NY)
Practice address
23 Jefferson St.
Ellicottville, NY 14731-0781
Phone
(716) 699-8996
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
015127-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellicottville Oasis Day Spa Inc. Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 015127-1 NY Yes

Addresses

Primary practice location

23 Jefferson St.
Ellicottville, NY 14731-0781

Mailing address

23 Jefferson Street
Box 781
Ellicottville, NY 14731-0781
Phone (716) 699-8996

Other providers in Ellicottville, NY

All providers in Ellicottville, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.