ROBERT T DETAMBLE (NPI# 1710285200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710285200 |
| Entity Type | Individual |
| Full Name | ROBERT T DETAMBLE |
| Credential | LMT |
| Practice Address |
6245 Sheridan Dr Suite116 Williamsville NY 14221-4834 |
| Practice Telephone | 7165736553 |
| Mailing Telephone | 7165736553 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 020131 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6245 SHERIDAN DR SUITE116 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496240 | Mary Ellen Rubin | Psychologist | 6245 Sheridan Dr, Suite 218, Williamsville, NY 14221-4834 | 2005-09-01 |
| 1174979306 | Ciambella Home Care, Inc. | Home Health | 6245 Sheridan Dr, Suite 114, Williamsville, NY 14221-4834 | 2016-05-06 |
| 1316343460 | Erik Kastner | Physical Therapist | 6245 Sheridan Dr, Suite 112, Williamsville, NY 14221-4834 | 2014-11-17 |
| 1013317379 | Ryan Smith | Physical Therapist | 6245 Sheridan Dr, 112, Williamsville, NY 14221-4834 | 2014-08-23 |
| 1922423151 | Advanced Pain & Wellness Institute, LLP | Clinical Medical Laboratory | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2014-02-25 |
| 1851689178 | Jennifer D Mckeel-aranyosi | Specialist | 6245 Sheridan Dr, Ste 112, Williamsville, NY 14221-4834 | 2011-07-20 |
| 1689961054 | Rachel M. Brown | Physician Assistant | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2011-07-06 |
| 1487963120 | Vikas K Pilly Md PC | Physical Medicine & Rehabilitation | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2010-09-29 |
| 1780852780 | Romanth Waghmarae Mb., Bch., PC | Specialist | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2008-02-13 |
| 1417135278 | Family Care Physical Therapy and Fitness Pllc | Clinic/Center | 6245 Sheridan Dr, Suite 112, Williamsville, NY 14221-4834 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847508 | Pamela Frank | Massage Therapist | 8270 Wehrle Dr, Williamsville, NY 14221-7392 | 2020-09-30 |
| 1437763604 | Tanner Dumez | Massage Therapist | 950 Maple Rd, Williamsville, NY 14221-3329 | 2020-09-03 |
| 1851922983 | Colleen Krysten Maloney | Massage Therapist | 8111 Sheridan Dr, Williamsville, NY 14221-6025 | 2020-01-28 |
| 1306495239 | Laura Elisabeth Tufts | Massage Therapist | 5735 Main St, Williamsville, NY 14221-5566 | 2019-09-04 |
| 1568017952 | Margaux Claire Huart | Massage Therapist | 2318 Wehrle Dr, Williamsville, NY 14221-7021 | 2019-08-03 |
| 1447815147 | Samantha Louies Rocco | Massage Therapist | 5461 Main St, Williamsville, NY 14221-6701 | 2019-05-08 |
| 1669967329 | Nicole Kelley | Massage Therapist | 5500 Main St Ste 106, Williamsville, NY 14221-6753 | 2018-06-26 |
| 1134633795 | Stephanie Jacobs | Massage Therapist | 5195 Main St, Williamsville, NY 14221-5385 | 2017-11-18 |
| 1740721299 | Nyaya Kelkar | Massage Therapist | 2829 Wehrle Dr Ste 13, Williamsville, NY 14221-7387 | 2017-03-16 |
| 1285045039 | Karen Roth | Massage Therapist | 4193 Transit Rd, Williamsville, NY 14221-7206 | 2014-05-14 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on ROBERT T DETAMBLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.