Scott Michael Belanger, L.M.T.

Individual provider Active NPI Massage Therapist · Greenfield, MA

NPI 1245598689 · NPPES record last updated Apr 23, 2012

Key facts

NPI
1245598689
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT-4978-MT (MA)
Practice address
28 Federal St
Suite 2
Greenfield, MA 01301-3325
Phone
(413) 330-8888
NPI assigned
Apr 23, 2012
Sex
Male
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
MT-4978-MTMAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-4978-MT MA Yes

Addresses

Primary practice location

28 Federal St
Suite 2
Greenfield, MA 01301-3325

Mailing address

28 Federal St
Suite 2
Greenfield, MA 01301-3325
Phone (413) 330-8888

Other providers in Greenfield, MA

All providers in Greenfield, MA · Massage Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.