Active NPIIndividual providerSole proprietor

Mr. Bob B Shumilla, NCLMT

Massage Therapist in Stoughton, Massachusetts

NPI Number1043513906
Practice location
294 Pleasant St, Suite 201, Stoughton, MA 02072-2571
Fax
—
Last updated
December 15, 2010

Bob Brian Shumilla is a Massage Therapist based in Stoughton, MA. Bob Brian Shumilla practices in Stoughton, MA and has the professional credentials of NCLMT. The NPI Number for Bob Brian Shumilla is 1043513906 and holds a License No. 4369 (MA). The current practice location address for Bob Brian Shumilla is 294 Pleasant St, Suite 201, Stoughton, MA 02072-2571 and can be reached out via phone at 781-344-0720.

Provider Profile Details

NPI Number
1043513906
Provider Name
Bob Brian Shumilla
Credential
NCLMT
Provider Entity Type
Individual
Gender
Male
Address
294 Pleasant St, Suite 201, Stoughton, MA 02072-2571
Phone Number
781-344-0720
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2010
Last Update Date
December 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
294 Pleasant St
Suite 201
Stoughton, MA 02072-2571
Zip
02072-2571
Phone Number
781-344-0720
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
294 Pleasant St
Suite 201
Stoughton, MA 02072-2571
City
Stoughton
State
MA
Zip
02072-2571
Phone Number
781-344-0720

License Information

License Number
4369
License State
MA
Taxonomy
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 Mr. Bob B Shumilla, NCLMT?

The NPI number of Mr. Bob B Shumilla, NCLMT is 1043513906. It was assigned on December 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Bob B Shumilla, NCLMT?

Mr. Bob B Shumilla, NCLMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 4369.

Where does Mr. Bob B Shumilla, NCLMT practice?

The practice location is 294 Pleasant St, Suite 201, Stoughton, MA 02072-2571. The office can be reached at 781-344-0720 (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 1043513906 directly on the NPPES registry website.

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