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NPI Code Detail

MEDICARE: ROSALBA MICIELI LMT

MEDICARE: ROSALBA MICIELI 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
1225700000XMassage TherapistMT8658MA

General Provider Information

NPI Number : 1275352981
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALBA MICIELI LMT
Provider Business Mailing Address
First Line : 201 CHELMSFORD ST
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 CHELMSFORD ST
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2359
Country : US
Telephone Number : 617-389-3828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 10/18/2024

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Directions to “ ROSALBA MICIELI LMT” Practice Location

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