Individual
MIRANDA HENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8860 MAIN ST, WILLIAMSVILLE, NY 14221-7640
(716) 329-9993
Mailing address
5265 WILLIAM ST, LANCASTER, NY 14086-9305
(716) 435-4696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032695-01
NY
Other
Enumeration date
01/13/2025
Last updated
02/23/2025
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