Organization
GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LOUISE ZIMBERG LMT (OWNER/LMT)
(716) 435-0020
Entity
Organization
Contact information
Practice address
142 LORELEE DR, TONAWANDA, NY 14150-4325
(716) 435-0020
Mailing address
142 LORELEE DR, TONAWANDA, NY 14150-4325
(716) 435-0020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018786
NYS LMT LICENSE
NY
01
—
1225201437
NPI - INDIVIDUAL
NY
Enumeration date
12/31/2014
Last updated
12/31/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up