Jeff Mahadeen

Individual provider Active NPI Massage Therapist · Bow, NH

NPI 1679947840 · NPPES record last updated Nov 25, 2015

Key facts

NPI
1679947840
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2176M (NH)
Practice address
783 Route 3a
Bow, NH 03304-3331
Phone
(603) 228-7711
Fax
(603) 228-7701
NPI assigned
Nov 25, 2015
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
2176MNHMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2176M NH Yes

Addresses

Primary practice location

783 Route 3a
Bow, NH 03304-3331

Mailing address

783 Route 3a
Bow, NH 03304-3331
Phone (603) 228-7711

Other providers in Bow, NH

All providers in Bow, NH · Massage Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.