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

Scott Joesph Ickowski, LMT

Individual provider Massage Therapist · NPI 1316792765

Scott Joesph Ickowski, LMT is a Massage Therapist in Kenmore, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

989 Kenmore Ave
Kenmore, NY 14217-2924
Phone: (716) 335-9711
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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 032805-01 (NY)

Record details

NPI number1316792765
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address989 Kenmore Ave, Kenmore, NY 14217-2924

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