MEDICARE: GINA MARIE SETARO

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	17667	MA

General Provider Information

NPI Number	:	1356127757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA MARIE SETARO

Provider Business Mailing Address
First Line	:	19 MEENA DR
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01603-2207
Country	:	US
Telephone Number	:	150-886-0343
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 GRAFTON ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01604-2619
Country	:	US
Telephone Number	:	508-860-3430
Fax Number	:

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

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	09/01/2023

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Directions to “ GINA MARIE SETARO ” Practice Location

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