Healthcare Provider Details

I. General information

NPI: 1669390266
Provider Name (Legal Business Name): GRAZIELLA SARKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 WINTHROP AVE STE 9A
NORTH ANDOVER MA
01845-4289
US

IV. Provider business mailing address

158 CONCORD RD APT H10
BILLERICA MA
01821-4637
US

V. Phone/Fax

Practice location:
  • Phone: 603-738-9957
  • Fax:
Mailing address:
  • Phone: 603-738-9957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number17300-MT
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: