MEDICARE: NORMA NORCROSS RN, LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM1400X	Nurse Massage Therapist (NMT)	RN2288142	MA
2	225700000X	Massage Therapist	95	MA

General Provider Information

NPI Number	:	1124422118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA NORCROSS RN, LMT

Provider Business Mailing Address
First Line	:	1550 FALMOUTH RD STE 4C
Second Line	:
City	:	CENTERVILLE
State	:	MA
Zip	:	02632-2938
Country	:	US
Telephone Number	:	508-776-1305
Fax Number	:	508-365-6449

Provider Business Practice Location Address
First Line	:	1550 FALMOUTH RD STE 4C
Second Line	:
City	:	CENTERVILLE
State	:	MA
Zip	:	02632-2938
Country	:	US
Telephone Number	:	508-776-1305
Fax Number	:	508-365-6449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	06/06/2025

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