Tara Shewchuk, LMT
Individual provider Active NPI Massage Therapist · East Longmeadow, MA
NPI 1235850488 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1235850488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 16963 (MA)
- Practice address
- 80 Center SQ
East Longmeadow, MA 01028-2449 - Phone
- (413) 353-3361
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16963 | MA | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Health Group, P.C. | Past | Accepting new patients | |
| Premier Health Group Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16963 | MA | Yes |
Addresses
Primary practice location
80 Center SQ
East Longmeadow, MA 01028-2449
Mailing address
14 Apple Hill Rd
Wilbraham, MA 01095-2614
Other practice location 1
246 West St
Ware, MA 01082-9749
Phone (413) 967-0211
Other providers in East Longmeadow, MA
- Valerie C. Sharpe
- Margaret Shea
- Brittany Shelton
- Elizabeth A Shepardson
- Monique T Sherman
- Shiloh Angels Homecare LLC
- Sean Patrick Shimansky
- Natalie Shoemaker
- Sarah Siana
- Graciana Simeon
All providers in East Longmeadow, MA · Massage Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.