MEDICARE: ROBERT F CAPPELLINO 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	009153	NY

General Provider Information

NPI Number	:	1831390509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT F CAPPELLINO LMT

Provider Business Mailing Address
First Line	:	156 ONETA RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5622
Country	:	US
Telephone Number	:	585-266-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 COOPER RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-3002
Country	:	US
Telephone Number	:	585-467-7070
Fax Number	:

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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