MEDICARE: DAVID TIMOTHY NOONAN LMT

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	MSG015679	PA

General Provider Information

NPI Number	:	1396679395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID TIMOTHY NOONAN LMT

Provider Business Mailing Address
First Line	:	3070 BRISTOL PIKE STE 2-132
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-5363
Country	:	US
Telephone Number	:	267-332-6605
Fax Number	:

Provider Business Practice Location Address
First Line	:	3070 BRISTOL PIKE STE 2-132
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-5363
Country	:	US
Telephone Number	:	267-332-6605
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ DAVID TIMOTHY NOONAN LMT” Practice Location

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