Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip Wackerfuss, LMT

Individual provider Massage Therapist · NPI 1790151678

Phillip Wackerfuss, LMT is a Massage Therapist in Williamsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5225 Sheridan Dr
Williamsville, NY 14221-3573
Phone: (716) 626-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 028894-1 (NY)

Record details

NPI number1790151678
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 14, 2015
Last updated in NPPESAugust 14, 2015
Mailing address86 Livingston St, Buffalo, NY 14213-1653

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