MEDICARE: SHEREE TOMASELLO

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	225700000X	Massage Therapist	0019020881	VA

General Provider Information

NPI Number	:	1255264347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEREE TOMASELLO

Provider Business Mailing Address
First Line	:	14008 ALTUS CT
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3407
Country	:	US
Telephone Number	:	571-575-3546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 N PITT ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5600
Country	:	US
Telephone Number	:	833-724-1512
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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