Doctor Name: | MR. PAULO LAGE |
NPI Number: | 1164741336 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PTA, LMT |
License Number: | 6397 |
Business Practice Address: | 1820 Turnpike St Ste 200 North Andover, MA - 018456327 |
Business Phone Number: | 6173120204 |
Business Fax Number: | |
Mailing Address: | 2 Edgewood Dr, HUDSON |
State: | MA |
Postal Code: | 017491209 |
Phone Number: | 6173120204 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2010 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6397 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |