Active NPIIndividual providerSole proprietor

Mr. Edward Dechellis Jr., PTA, MT

Massage Therapist in Northfield, Massachusetts

NPI Number1821441577
Practice location
233 Old Wendell RD, Northfield, MA 01360-9674
Fax
—
Last updated
July 18, 2016

Edward Dechellis is a Massage Therapist based in Northfield, MA. Edward Dechellis practices in Northfield, MA and has the professional credentials of PTA, MT. The NPI Number for Edward Dechellis is 1821441577 and holds a License No. 3729 (MA). The current practice location address for Edward Dechellis is 233 Old Wendell RD, Northfield, MA 01360-9674 and can be reached out via phone at 413-218-6715.

Provider Profile Details

NPI Number
1821441577
Provider Name
Edward Dechellis
Credential
PTA, MT
Provider Entity Type
Individual
Gender
Male
Address
233 Old Wendell RD, Northfield, MA 01360-9674
Phone Number
413-218-6715
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2016
Last Update Date
July 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
233 Old Wendell RD
Northfield, MA 01360-9674
Zip
01360-9674
Phone Number
413-218-6715
Northfield, MA 01360Get directions →

Provider Business Mailing Address Details

Address
233 Old Wendell RD
Northfield, MA 01360-9674
City
Northfield
State
MA
Zip
01360-9674
Phone Number
413-218-6715

License Information

License Number (1)
3729
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
6291
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 Mr. Edward Dechellis Jr., PTA, MT?

The NPI number of Mr. Edward Dechellis Jr., PTA, MT is 1821441577. It was assigned on July 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Edward Dechellis Jr., PTA, MT?

Mr. Edward Dechellis Jr., PTA, MT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 3729.

Where does Mr. Edward Dechellis Jr., PTA, MT practice?

The practice location is 233 Old Wendell RD, Northfield, MA 01360-9674. The office can be reached at 413-218-6715 (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 1821441577 directly on the NPPES registry website.

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