Provider Demographics
NPI:1164682043
Name:CALMES, ALICE (LMT)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:CALMES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10966 GRISWOLD RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14040-9722
Mailing Address - Country:US
Mailing Address - Phone:716-812-1285
Mailing Address - Fax:
Practice Address - Street 1:1100 SOUTHWESTERN BLVD
Practice Address - Street 2:STE 200
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-4400
Practice Address - Country:US
Practice Address - Phone:716-812-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015635225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist