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360 NEUROMUSCULAR THERAPY LLC NPI 1700198306


NPI Information

NPI: 1700198306
Provider Name: 360 NEUROMUSCULAR THERAPY, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1077 LEXINGTON ST STE 202
WALTHAM, MA
ZIP 02452
Phone: (781) 444-3609
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360 NEUROMUSCULAR THERAPY, LLC is a massage therapist in Waltham, MA. The provider is 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. 360 NEUROMUSCULAR THERAPY, LLC NPI is 1700198306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1077 LEXINGTON ST STE 202
WALTHAM, MA
ZIP 02452-233
Phone: (781) 444-3609
Fax: (781) 209-7301

The provider's authorized official is Lisa Marie Erickson Gorman .
The authorized official title is Co-owner and has the following contact phone number (781) 444-3609.

The enumeration date for this NPI number is 7/12/2010 and was last updated on 2/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist167MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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