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NPI Code Detail

MEDICARE: ANASHAY GOULD MASSAGE THERAPIST

MEDICARE: ANASHAY GOULD MASSAGE THERAPIST
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
1225700000XMassage Therapist16017MA

General Provider Information

NPI Number : 1518688795
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASHAY GOULD MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 7 SEAPORT DR APT 224
Second Line :
City : QUINCY
State : MA
Zip : 02171-1577
Country : US
Telephone Number : 617-755-7008
Fax Number :
Provider Business Practice Location Address
First Line : 7 SEAPORT DR APT 224
Second Line :
City : QUINCY
State : MA
Zip : 02171-1577
Country : US
Telephone Number : 617-755-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/07/2022

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Directions to “ ANASHAY GOULD MASSAGE THERAPIST” Practice Location

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