Chloe Grace Hertel, LMT
Individual provider Active NPI Massage Therapist · Clarence, NY
NPI 1558100925 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1558100925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 033507 (NY)
- Practice address
- 4440 Shimerville Rd
Clarence, NY 14031-1808 - Phone
- (716) 633-2036
- NPI assigned
- May 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033507 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Lewis DC PC | Current |
Accepting new patients |
Locations
4440 Shimerville Rd
Clarence, NY 14031
Phone (716) 633-2036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 033507 | NY | Yes |
Addresses
Primary practice location
4440 Shimerville Rd
Clarence, NY 14031-1808
Mailing address
4440 Shimerville Rd
Clarence, NY 14031-1808
Phone (716) 633-2036
Other providers in Clarence, NY
- Arjmund Haroon
- Yasser Heakal
- Valerie Anne Heer
- Patrick Helper
- Leah Herby-Khalil
- Carol Ann Heuser
- Meredith S Howard
- Jean Mosteller Hynd
- Daniel M Janish
- Tuba Jawed
All providers in Clarence, 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 May 23, 2024. 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.