Rachel Lynn Perry, LMT

Individual provider Active NPI Massage Therapist · West Dover, VT

NPI 1124603774 · NPPES record last updated Mar 16, 2021

Key facts

NPI
1124603774
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
003978 (CT)
Practice address
148 RT 100 Mountain Styles
West Dover, VT 05356
Phone
(802) 379-8840
NPI assigned
Mar 16, 2021
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

State licenses

LicenseStateTypeSpecialty
003978CTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 003978 CT Yes

Addresses

Primary practice location

148 RT 100 Mountain Styles
West Dover, VT 05356

Mailing address

PO Box 541
West Dover, VT 05356-0541
Phone (802) 379-8840

Other identifiers

IdentifierTypeStateIssuer
003978OtherCTMASSAGE LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Other URL rachelperrymobilemassage.com Health Information Exchange (HIE)

Other providers in West Dover, VT

All providers in West Dover, VT · Massage Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.