Active NPIIndividual provider

Champagne Degrace, LMT

Massage Therapist in New Bedford, Massachusetts

NPI Number1033794896
Practice location
114 Glennon St, New Bedford, MA 02745-5238
Fax
—
Last updated
March 13, 2021

Champagne Degrace is a Massage Therapist based in New Bedford, MA. Champagne Degrace practices in New Bedford, MA and has the professional credentials of LMT. The NPI Number for Champagne Degrace is 1033794896 and holds a License No. MT02542 (RI). The current practice location address for Champagne Degrace is 114 Glennon St, New Bedford, MA 02745-5238 and can be reached out via phone at 774-400-0453.

Provider Profile Details

NPI Number
1033794896
Provider Name
Champagne Degrace
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
114 Glennon St, New Bedford, MA 02745-5238
Phone Number
774-400-0453
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2021
Last Update Date
March 13, 2021
Certification Date
March 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Glennon St
New Bedford, MA 02745-5238
Zip
02745-5238
Phone Number
774-400-0453
New Bedford, MA 02745Get directions →

Provider Business Mailing Address Details

Address
114 Glennon St
New Bedford, MA 02745-5238
City
New Bedford
State
MA
Zip
02745-5238
Phone Number
774-400-0453

License Information

License Number (1)
MT02542
License State (1)
RI
Taxonomy (1)
Massage Therapist · 225700000X
License Number (2)
16094
License State (2)
MA
Taxonomy (2)
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Champagne Degrace, LMT?

The NPI number of Champagne Degrace, LMT is 1033794896. It was assigned on March 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Champagne Degrace, LMT?

Champagne Degrace, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT02542.

Where does Champagne Degrace, LMT practice?

The practice location is 114 Glennon St, New Bedford, MA 02745-5238. The office can be reached at 774-400-0453 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033794896 directly on the NPPES registry website.

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