Doctor Name: | EVAN FEATHERSTONE |
NPI Number: | 1003132531 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 447 |
Business Practice Address: | 1290 Washington St Newton, MA - 024652001 |
Business Phone Number: | 6174676072 |
Business Fax Number: | 6179699590 |
Mailing Address: | 1290 Washington St, NEWTON |
State: | MA |
Postal Code: | 024652001 |
Phone Number: | 6174676072 |
Fax Number: | 6179699590 |
NPI Enumeration Date: | 04/08/2010 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |