Mark Stephen Banaszak, LMT
NPI #1417127218 in Clarence Center, New York
Provider Information
- NPI Number
- 1417127218
- Entity Type
- Individual
- Name
- Mark Stephen Banaszak, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Mar 7, 2008
- Last Updated
- Mar 7, 2008
Practice Location
- Address
- 6321 BALSAM FIR CT
- City
- Clarence Center
- State
- New York
- ZIP Code
- 14032-9150
- Phone
- (716) 864-9079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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