Martha Yvette Davis, LMT
Individual provider Active NPI Massage Therapist · Wilbraham, MA
NPI 1972861805 · NPPES record last updated Apr 28, 2012
Key facts
- NPI
- 1972861805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 9395 (MA)
- Practice address
- 2341 Boston Rd Ste 301
Wilbraham, MA 01095-1152 - Phone
- (413) 348-9339
- NPI assigned
- Apr 28, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9395 | MA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9395 | MA | Yes |
Addresses
Primary practice location
2341 Boston Rd Ste 301
Wilbraham, MA 01095-1152
Mailing address
2341 Boston Rd Ste 301
Wilbraham, MA 01095-1152
Phone (413) 348-9339
Other providers in Wilbraham, MA
- Nicole Dacampo
- Siobhan Carin Daley
- Danielson Eye Care
- John T. Danielson
- Carol Davis
- Laura Ruth Dayton
- Drew Dearden
- Dermatology and Laser Center of Western Mass Inc
- Michael Raymond Devine
- Kimberly Anne Dewey
All providers in Wilbraham, 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 Apr 28, 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.