MEDICARE: ERIN LOUISE COPLAND 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	6410	MA

General Provider Information

NPI Number	:	1467280560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LOUISE COPLAND LMT

Provider Business Mailing Address
First Line	:	118 WEBSTER ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-3336
Country	:	US
Telephone Number	:	617-216-1569
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 MASSACHUSETTS AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-6745
Country	:	US
Telephone Number	:	617-216-1569
Fax Number	:

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

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	07/22/2024

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