Doctor Name: | DEBRA L LEVESQUE |
NPI Number: | 1205986767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, LMT |
License Number: | 673 |
Business Practice Address: | 24b Sandwich Rd Wareham, MA - 025711628 |
Business Phone Number: | 5089653974 |
Business Fax Number: | |
Mailing Address: | 30 Russell St, TAUNTON |
State: | MA |
Postal Code: | 027801418 |
Phone Number: | 5088237506 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 09/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 673 |
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. |