Individual
MS. NICOLE L PENKALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
4415 UNION RD, CHEEKTOWAGA, NY 14225
(716) 200-3599
Mailing address
9 HARBOUR LN, CHEEKTOWAGA, NY 14225-3707
(716) 200-3599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022769
NY
Other
Enumeration date
06/03/2009
Last updated
06/04/2018
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