Healthcare Provider Details

I. General information

NPI: 1235065699
Provider Name (Legal Business Name): MS. SILVIA LORENA VENTURA I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WEST ST STE 9
MILLBURY MA
01527-2677
US

IV. Provider business mailing address

179 WHITINS RD # SUTTONM
SUTTON MA
01590-2701
US

V. Phone/Fax

Practice location:
  • Phone: 508-873-0353
  • Fax:
Mailing address:
  • Phone: 508-873-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12545
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: