MEDICARE: ERIN LYNNE LATHERS LMC

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	18721-MT-MT	MA

General Provider Information

NPI Number	:	1457202004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LYNNE LATHERS LMC

Provider Business Mailing Address
First Line	:	241 CRESCENT ST APT 3507
Second Line	:
City	:	WALTHAM
State	:	MA
Zip	:	02453-3581
Country	:	US
Telephone Number	:	415-812-0258
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 ADAMS ST STE 3
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3445
Country	:	US
Telephone Number	:	617-922-8266
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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