Active NPIIndividual providerSole proprietor

Stephanie A Blaisdell, NCLMT

Massage Therapist in Centerville, Massachusetts

NPI Number1336575455
Practice location
63 Knotty Pine Ln, Centerville, MA 02632-2301
Fax
—
Last updated
September 20, 2013

Stephanie Amanda Blaisdell is a Massage Therapist based in Centerville, MA. Stephanie Amanda Blaisdell practices in Centerville, MA and has the professional credentials of NCLMT. The NPI Number for Stephanie Amanda Blaisdell is 1336575455 and holds a License No. 2197 (MA). The current practice location address for Stephanie Amanda Blaisdell is 63 Knotty Pine Ln, Centerville, MA 02632-2301 and can be reached out via phone at 508-776-2114.

Provider Profile Details

NPI Number
1336575455
Provider Name
Stephanie Amanda Blaisdell
Credential
NCLMT
Provider Entity Type
Individual
Gender
Female
Address
63 Knotty Pine Ln, Centerville, MA 02632-2301
Phone Number
508-776-2114
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2013
Last Update Date
September 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Knotty Pine Ln
Centerville, MA 02632-2301
Zip
02632-2301
Phone Number
508-776-2114
Centerville, MA 02632Get directions →

Provider Business Mailing Address Details

Address
63 Knotty Pine Ln
Centerville, MA 02632-2301
City
Centerville
State
MA
Zip
02632-2301
Phone Number
508-776-2114

License Information

License Number
2197
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 Stephanie A Blaisdell, NCLMT?

The NPI number of Stephanie A Blaisdell, NCLMT is 1336575455. It was assigned on September 20, 2013 and is currently active in the NPPES registry.

What is the specialty of Stephanie A Blaisdell, NCLMT?

Stephanie A Blaisdell, NCLMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 2197.

Where does Stephanie A Blaisdell, NCLMT practice?

The practice location is 63 Knotty Pine Ln, Centerville, MA 02632-2301. The office can be reached at 508-776-2114 (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 1336575455 directly on the NPPES registry website.

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