MEDICARE: JULIE SILVESTRO 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	7157	OH

General Provider Information

NPI Number	:	1518265339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SILVESTRO LMT

Provider Business Mailing Address
First Line	:	2926 ALDA PKWY
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-1465
Country	:	US
Telephone Number	:	440-227-1961
Fax Number	:

Provider Business Practice Location Address
First Line	:	7055 ENGLE RD
Second Line	:	SUITE 401
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-8491
Country	:	US
Telephone Number	:	440-826-1100
Fax Number	:

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

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	03/16/2011

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