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NPI Code Detail

MEDICARE: MS. MELISSA LYNNE SUPINSKI DPT, PT

MEDICARE: MS. MELISSA LYNNE SUPINSKI DPT, PT
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
1225100000XPhysical Therapist17464MA

General Provider Information

NPI Number : 1548234008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA LYNNE SUPINSKI DPT, PT
Provider Business Mailing Address
First Line : 60 N WESTFIELD ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-1679
Country : US
Telephone Number : 413-786-8908
Fax Number :
Provider Business Practice Location Address
First Line : 60 N WESTFIELD ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-1606
Country : US
Telephone Number : 413-786-8908
Fax Number : 413-786-0185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/10/2025

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