MEDICARE: SILAS E ESCH

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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1346543931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILAS E ESCH

Provider Business Mailing Address
First Line	:	1013 W MAIN ST
Second Line	:	SUITE 1
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9699
Country	:	US
Telephone Number	:	717-367-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1013 W MAIN ST
Second Line	:	SUITE 1
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9699
Country	:	US
Telephone Number	:	717-367-6224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	12/21/2010

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Directions to “ SILAS E ESCH ” Practice Location

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