Darlene M Longstreth
Individual provider Active NPI Massage Therapist · Brookhaven, PA
NPI 1790959633 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1790959633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- PSMT (PA)
- Practice address
- 3766 Susan Lane
Kinderssage
Brookhaven, PA 19015 - Phone
- (610) 505-8946
- NPI assigned
- Apr 22, 2008
- 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 |
|---|---|---|---|
| PSMT | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | PSMT | PA | Yes |
Addresses
Primary practice location
3766 Susan Lane
Kinderssage
Brookhaven, PA 19015
Mailing address
8241 Pine Rd
Philadelphia, PA 19111-1823
Phone (267) 972-0448
Other providers in Brookhaven, PA
- Cameroon Lawson
- Tiana Lawson
- Brittany Lee
- Jun Hao Lee
- Michelle Lin
- Desirae Christine Lyons
- Steven Maiers
- Nicholas McAndrew
- Brett McCombs
- Sean McDade
All providers in Brookhaven, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. 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.