Brandy Ditomasso, LMT
Individual provider Active NPI Specialist · Leicester, MA
NPI 1497021802 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1497021802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 9780 (MA)
- Practice address
- 1069 Main St
Leicester, MA 01524-1324 - Phone
- (508) 892-5595
- NPI assigned
- Mar 29, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 9780 | MA | |
| Specialist | 174400000X | 9780 | MA | Yes |
Addresses
Primary practice location
1069 Main St
Leicester, MA 01524-1324
Mailing address
1069 Main St
Leicester, MA 01524-1324
Phone (508) 892-5595
Other providers in Leicester, MA
- Linda Cook
- Cornerstone Caregiving East LLC
- Catherine Marie Correia
- Danielle Dayutis
- Carla Delacruz Davila
- Leticia DO Amaral
- Kassie Donais
- Timothy Fahey
- Families Together
- Melissa Marie Fish
All providers in Leicester, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. 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.