Healthcare Provider Details

I. General information

NPI: 1861716706
Provider Name (Legal Business Name): ASHERAH BARBARA ALLEN LIC. AC., L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 RUSSELL ST. P.O. BOX 613
HADLEY MA
01035-9595
US

IV. Provider business mailing address

294 RUSSELL ST. P.O. BOX 613
HADLEY MA
01035-9595
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-8484
  • Fax: 413-584-8484
Mailing address:
  • Phone: 413-584-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number245815
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1153
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: