KOEHLER LESLIE RADDER (NPI# 1184196461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184196461 |
| Entity Type | Individual |
| Full Name | KOEHLER LESLIE RADDER |
| Credential | MASSAGE THERAPIST |
| Practice Address |
4214 Clinton St West Seneca NY 14224-1606 |
| Practice Telephone | 7166752225 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030336 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4214 CLINTON ST |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740599877 | Mohamed Jamil Munassar | Chiropractor | 4214 Clinton St, West Seneca, NY 14224-5877 | 2010-10-07 |
| 1902271414 | Chiro First Wellness Center | Exclusive Provider Organization | 4214 Clinton St, West Seneca, NY 14224-1606 | 2015-12-09 |
| 1285926782 | Chiro One Wellness P. C. | Chiropractor | 4214 Clinton St, West Seneca, NY 14224-4910 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1124502828 | Cristie Marie Nowinski | Massage Therapist | 2437 Berg Rd Ste E, West Seneca, NY 14218-3785 | 2018-09-18 |
| 1003212671 | Elizabeth Pakenham | Massage Therapist | 2437 Berg Rd, West Seneca, NY 14218-3785 | 2014-11-10 |
| 1104234673 | Tina Destro | Massage Therapist | 135 Thorndale Ave, West Seneca, NY 14224-1877 | 2014-07-29 |
| 1346504669 | Jennifer Perlette Dossett | Massage Therapist | 3648 Seneca St, West Seneca, NY 14224-3400 | 2012-07-02 |
| 1891088522 | Nina M Nadolny | Massage Therapist | 1909 Union Rd, West Seneca, NY 14224-2013 | 2011-05-27 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1164682043 | Alice Calmes | Massage Therapist | 1100 Southwestern Blvd, Ste 200, West Seneca, NY 14224-4400 | 2008-06-13 |
| 1265076095 | Valerie K Kowalenko | Massage Therapist | 810 Center Rd, West Seneca, NY 14224-2238 | 2019-11-05 |
| 1336621382 | Jason Gortzig | Massage Therapist | 1909 Union Rd, West Seneca, NY 14224-2013 | 2018-09-05 |
| Find all providers in WEST SENECA | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on KOEHLER LESLIE RADDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.