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NPI Code Detail

MEDICARE: TASHA K TOWNSEND

MEDICARE:   TASHA K TOWNSEND
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
1225700000XMassage Therapist015947NY
2174400000XSpecialist015947NY

General Provider Information

NPI Number : 1225324940
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA K TOWNSEND
Provider Business Mailing Address
First Line : 74 SUSAN DR
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1409
Country : US
Telephone Number : 845-542-8989
Fax Number :
Provider Business Practice Location Address
First Line : 550 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6556
Country : US
Telephone Number : 845-542-8989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 02/22/2024

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Directions to “ TASHA K TOWNSEND ” Practice Location

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