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NPI Code Detail

MEDICARE: STEPHANIE AUDIFRE LMT

MEDICARE: STEPHANIE AUDIFRE 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 Therapist18976MA

General Provider Information

NPI Number : 1396672796
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE AUDIFRE LMT
Provider Business Mailing Address
First Line : 31 MILTON ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-4230
Country : US
Telephone Number : 978-802-8990
Fax Number :
Provider Business Practice Location Address
First Line : 31 MILTON ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-4230
Country : US
Telephone Number : 978-802-8990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ STEPHANIE AUDIFRE LMT” Practice Location

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