MEDICARE: DESTINY LOVE DIAS 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	14330	MA

General Provider Information

NPI Number	:	1710827787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY LOVE DIAS LMT

Provider Business Mailing Address
First Line	:	538 BEDFORD ST STE 1
Second Line	:
City	:	ABINGTON
State	:	MA
Zip	:	02351-5019
Country	:	US
Telephone Number	:	814-568-3375
Fax Number	:

Provider Business Practice Location Address
First Line	:	538 BEDFORD ST STE 1
Second Line	:
City	:	ABINGTON
State	:	MA
Zip	:	02351-5019
Country	:	US
Telephone Number	:	814-568-3375
Fax Number	:

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

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “ DESTINY LOVE DIAS LMT” Practice Location

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