Adicel Mario Dasilva
Individual provider Active NPI Massage Therapist · Winthrop, MA
NPI 1982292306 · NPPES record last updated Jan 3, 2021
Key facts
- NPI
- 1982292306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 16273 (MA)
- Practice address
- 120 Winthrop Shore Dr
Winthrop, MA 02152-1237 - Phone
- (617) 710-2284
- NPI assigned
- Jan 3, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16273 | MA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 16273 | MA | Yes |
Addresses
Primary practice location
120 Winthrop Shore Dr
Winthrop, MA 02152-1237
Mailing address
120 Winthrop Shore Dr
Winthrop, MA 02152-1237
Phone (617) 710-2284
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All providers in Winthrop, 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 Jan 3, 2021. 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.