Danielle Burson

Individual provider Active NPI Massage Therapist · Grand Island, NY

NPI 1699223180 · NPPES record last updated Sep 14, 2016

Key facts

NPI
1699223180
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
024389 (NY)
Practice address
2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone
(716) 773-2222
NPI assigned
Sep 14, 2016
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
024389NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Chiropractic PC Past
since Feb 3, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 024389 NY Yes

Addresses

Primary practice location

2283 Grand Island Blvd
Grand Island, NY 14072-1819

Mailing address

2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone (716) 773-2222

Other providers in Grand Island, NY

All providers in Grand Island, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.