Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 13566 | MA |
NPI | 1013669902 |
---|---|
Provider Name | Hannah Mary May |
First Address | Westminster, MA 01473-1004 |
Second Address | Westminster, MA 01473-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2022 |
Last Update Date | 21/01/2022 |