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NPI Code Detail

MEDICARE: CHRISTINE DE CHIARA LMT

MEDICARE:   CHRISTINE  DE CHIARA  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 Therapist11445MA

General Provider Information

NPI Number : 1417358607
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE DE CHIARA LMT
Provider Business Mailing Address
First Line : 677 W MAIN ST
Second Line : INTEGRATIVE MEDICINE AND WELLNESS CENTER
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Provider Business Practice Location Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/10/2014

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Directions to “ CHRISTINE DE CHIARA LMT” Practice Location

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