Healthcare Provider Details

I. General information

NPI: 1205564358
Provider Name (Legal Business Name): DCOVERY BODYWORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 COCASSET ST STE 5
FOXBORO MA
02035-2996
US

IV. Provider business mailing address

21 COCASSET ST STE 5
FOXBORO MA
02035-2996
US

V. Phone/Fax

Practice location:
  • Phone: 774-477-9680
  • Fax:
Mailing address:
  • Phone: 774-477-9680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DARLENE BROWN
Title or Position: LICENSED MASSAGE THERAPIST
Credential: LMT, MMT
Phone: 774-477-9680