MEDICARE: JULIA SOFIA HUNDLEY

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	7611	NH

General Provider Information

NPI Number	:	1386312965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SOFIA HUNDLEY

Provider Business Mailing Address
First Line	:	80 REED ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03102-3030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	783 NH-3A
Second Line	:
City	:	BOW
State	:	NH
Zip	:	03304-4045
Country	:	US
Telephone Number	:	603-228-7711
Fax Number	:

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

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	08/31/2021

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Directions to “ JULIA SOFIA HUNDLEY ” Practice Location

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