Lynn Aubin, MT

Individual provider Active NPI Massage Therapist · Mashpee, MA

NPI 1043853963 · NPPES record last updated Jan 12, 2024

Key facts

NPI
1043853963
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
15821 (MA)
Practice address
148 Leisure Green Dr
Mashpee, MA 02649-2889
Phone
(518) 265-7809
Fax
(508) 477-1458
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
005524NYMDAcupuncturist
15821MAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 005524 NY
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 15821 MA Yes

Addresses

Primary practice location

148 Leisure Green Dr
Mashpee, MA 02649-2889

Mailing address

148 Leisure Green Dr
Mashpee, MA 02649-2889
Phone (518) 265-7809

Other providers in Mashpee, MA

All providers in Mashpee, MA · Massage Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.