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Contact Information

STEPHANIE JIMERSON, LMT
767 MINERAL SPRINGS RD
BUFFALO, NY14224-1053
 Phone: 716-806-8210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE JIMERSON · (Female)

NPI Number 1891480943
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 04/05/2023
Last updated 04/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 031945-01
  • NY Medicaid BW48793V
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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