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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
16963MAMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Health Group, P.C. Past Accepting new patients
Premier Health Group Inc Past
since Apr 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in East Longmeadow, MA · Massage Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.