MEDICARE: MRS. ASHERAH BARBARA ALLEN LIC. AC., L.M.T.

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	1153	MA
2	171100000X	Acupuncturist	245815	MA

General Provider Information

NPI Number	:	1861716706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHERAH BARBARA ALLEN LIC. AC., L.M.T.

Provider Business Mailing Address
First Line	:	294 RUSSELL ST.
Second Line	:	P.O. BOX 613
City	:	HADLEY
State	:	MA
Zip	:	01035-9595
Country	:	US
Telephone Number	:	413-584-8484
Fax Number	:

Provider Business Practice Location Address
First Line	:	294 RUSSELL ST.
Second Line	:	P.O. BOX 613
City	:	HADLEY
State	:	MA
Zip	:	01035-9595
Country	:	US
Telephone Number	:	413-584-8484
Fax Number	:	413-584-8484

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

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	07/21/2022

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