MARK BANASZAK, LMT

Massage Therapist

Active Individual
NPI: 1417127218

Practice Address

6321 BALSAM FIR CT
Clarence Center, NY 14032

Phone: (716) 864-9079

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 019871 (NY)

Frequently Asked Questions

NPI 1417127218 is the National Provider Identifier for MARK BANASZAK, LMT, a Massage Therapist provider located in Clarence Center, NY. This NPI was enumerated on March 7, 2008.
MARK BANASZAK, LMT practices at 6321 BALSAM FIR CT, Clarence Center, NY 14032.

Quick Facts

NPI
1417127218
Type
Individual
Enumerated
Mar 7, 2008
Last Updated
Mar 7, 2008

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