Johanna Chevere-Colon, 1415-MT-MT
Individual provider Active NPI Massage Therapist · North Attleboro, MA
NPI 1720538465 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1720538465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14157-MT-MT (MA)
- Practice address
- 93 Bank St
North Attleboro, MA 02760-1620 - Phone
- (508) 406-1674
- NPI assigned
- Oct 6, 2016
- 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 |
|---|---|---|---|
| 14157-MT-MT | MA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14157-MT-MT | MA | Yes |
Addresses
Primary practice location
93 Bank St
North Attleboro, MA 02760-1620
Mailing address
93 Bank St
North Attleboro, MA 02760-1620
Phone (508) 406-1674
Other providers in North Attleboro, MA
- Nicholas Joseph Charboneau
- Leo Charlebois
- Frandia Chatelain
- Aqib Chaudhry
- Brandon Cherenzia
- Courtney Chretien
- Daniel Christensen
- Lauren Samantha Christo
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- Godwin Chukwudi Chukwu
All providers in North Attleboro, 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 Oct 6, 2016. 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.