Marilyn Massad
Individual provider Active NPI Massage Therapist · Provincetown, MA
NPI 1477918993 · NPPES record last updated Dec 29, 2015
Key facts
- NPI
- 1477918993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 5875 (MA)
- Practice address
- 5 Meadow Rd Unit 2
Provincetown, MA 02657-1256 - Phone
- (508) 776-8434
- NPI assigned
- Dec 29, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5875 | MA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5875 | MA | Yes |
Addresses
Primary practice location
5 Meadow Rd Unit 2
Provincetown, MA 02657-1256
Mailing address
5 Meadow Rd Unit 2
Provincetown, MA 02657-1256
Phone (508) 776-8434
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- Donna Moffat Krauth
- John B Livingstone
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- Thomas Jude McQuaid
- Charlotte Fern Miller
- Samantha A Mitchell-Macnicoll
- Nathan Adam Molina
- Lucia Munson
All providers in Provincetown, 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 Dec 29, 2015. 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.