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MARIE FANHAM LMT
NPI 1295189017
Massage Therapist in Brockport, NY

Active since April 18, 2016
29 CLINTON ST, BROCKPORT, NY 14420(585) 637-3126 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marie Fanham Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE FANHAM LMT (NPI 1295189017) is an individual massage therapist in Brockport, New York, licensed in New York (029413-1) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1295189017
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARIE FANHAMCredential: LMT
Location Address29 CLINTON STBrockport, NY 14420-1803
Mailing Address29 Clinton StBrockport, NY 14420-1803 · (585) 637-3126
Phone(585) 637-3126
Sole ProprietorYes
Enumeration DateApril 18, 2016
✔ NPI 1295189017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 029413-1
Definition
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.
29 CLINTON ST, Brockport, NY 14420
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY DANIA MASON LMT
Massage Therapist
29 CLINTON ST
BROCKPORT, NY 14420
Monroe County (585) 637-3126
MISS JENNIFER ANN MAHER LMT
Massage Therapist
29 CLINTON ST
BROCKPORT, NY 14420
Monroe County (585) 802-4692
MS. PATRICIA M MCKENNA LMT
Massage Therapist
29 CLINTON ST
BROCKPORT, NY 14420
Monroe County (585) 259-2696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Fanham's NPI number?

The NPI number for Marie Fanham is 1295189017. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Marie Fanham located?

Marie Fanham practices at 29 Clinton St, Brockport, NY 14420. The listed phone number is (585) 637-3126.

What is Marie Fanham's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Marie Fanham was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.