Waller, Laura

Waller, Laura is an individual health care provider with primary practice located at 7293 Buckley Rd Ste 102 , Syracuse NY 13212-2648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Waller, Laura can be contacted via phone (315) 937-5954.

Contact Information

Primary practice address
7293 Buckley Rd Ste 102 Syracuse NY 13212-2648
Phone: (315) 937-5954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 023440 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501006233 Michigan

Profile Details

NPI number 1144612201
LBN Legal business name Waller, Laura
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2015
Last updated Oct 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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