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NPI Code Detail

MEDICARE: MARTHA E. KAUPPINEN LMT

MEDICARE: MARTHA E. KAUPPINEN 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
1225700000XMassage Therapist156MA

General Provider Information

NPI Number : 1548413941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA E. KAUPPINEN LMT
Provider Business Mailing Address
First Line : 28 STONEYBROOK RD
Second Line :
City : CHARLTON
State : MA
Zip : 01507-1809
Country : US
Telephone Number : 508-248-2863
Fax Number :
Provider Business Practice Location Address
First Line : 88 MASONIC HOME RD
Second Line : GUEST SUITE 5
City : CHARLTON
State : MA
Zip : 01507-1394
Country : US
Telephone Number : 508-612-8634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2008
Last Update Date : 10/29/2008

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