Michele Lee Vandertang, LICENSED MASSAGE THE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

018929 Issued in NY

Practice address

738 Brown Rd
Rochester, NY 14622-2316

Phone

(585) 797-7645

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508810490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 QUAY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146171639",
            "telephone_number": "585-797-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 BROWN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222316",
            "telephone_number": "585-797-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERTANG",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Vandermark
• Rebecca E Vandermark, LMHC
• Christine Ann Vandermeid, SLP
• Matthew Richard Vandermeid, PA
• Linda S. Vanderstyne, RN
• Reshae Vanderzwan, LCPC
• Sallie Vandling
• Jordyn Mary Vanelli, PT, DPT
• Mary Vanelli, RN
• Jean Vanetten, LMT

• Massage Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.