Doctor Name: | VANESSA KUMAR |
NPI Number: | 1699016725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 10862 |
Business Practice Address: | 223 A Centre St Centre Plaza Malden, MA - 02148 |
Business Phone Number: | 7813889229 |
Business Fax Number: | |
Mailing Address: | 23a Wall St, EVERETT |
State: | MA |
Postal Code: | 021491216 |
Phone Number: | 7817109525 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 10862 |
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. |