Active NPIOrganization

360 Neuromuscular Therapy, LLC

Massage Therapist in Waltham, Massachusetts

NPI Number1700198306
Practice location
1077 Lexington St Ste 202, Waltham, MA 02452-7233
Fax
781-209-7301
Last updated
February 22, 2019

360 Neuromuscular Therapy, LLC is a healthcare organization based in Waltham, MA. 360 Neuromuscular Therapy, LLC practices in Waltham, MA. The NPI Number for 360 Neuromuscular Therapy, LLC is 1700198306 and holds a License No. 167 (MA). The current practice location address for 360 Neuromuscular Therapy, LLC is 1077 Lexington St Ste 202, Waltham, MA 02452-7233 and can be reached out via phone at 781-444-3609 and via fax at 781-209-7301.

Provider Profile Details

NPI Number
1700198306
Provider Name
360 Neuromuscular Therapy, LLC
Provider Entity Type
Organization
Address
1077 Lexington St Ste 202, Waltham, MA 02452-7233
Phone Number
781-444-3609
Fax Number
781-209-7301
Primary Taxonomy
Massage Therapist · 225700000X
Organization Subpart
No
Authorized Official
Ms. Lisa Marie Erickson Gorman, CNMT, CMTPT · Co-Owner · 781-444-3609
Provider Enumeration Date
July 12, 2010
Last Update Date
February 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1077 Lexington St Ste 202
Waltham, MA 02452-7233
Zip
02452-7233
Phone Number
781-444-3609
Fax Number
781-209-7301
Waltham, MA 02452Get directions →

Provider Business Mailing Address Details

Address
1077 Lexington St Ste 202
Waltham, MA 02452-7233
City
Waltham
State
MA
Zip
02452-7233
Phone Number
781-444-3609
Fax Number
781-209-7301

License Information

License Number
167
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 360 Neuromuscular Therapy, LLC?

The NPI number of 360 Neuromuscular Therapy, LLC is 1700198306. It was assigned on July 12, 2010 and is currently active in the NPPES registry.

What is the specialty of 360 Neuromuscular Therapy, LLC?

360 Neuromuscular Therapy, LLC is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 167.

Where does 360 Neuromuscular Therapy, LLC practice?

The practice location is 1077 Lexington St Ste 202, Waltham, MA 02452-7233. The office can be reached at 781-444-3609 (phone) or 781-209-7301 (fax).

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 1700198306 directly on the NPPES registry website.

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