Doctor Name: | ANTHONY FERRARACCIO |
NPI Number: | 1710387758 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2008-2378 |
Business Practice Address: | Hc 78 Box 46a Pipestem, WV - 259799710 |
Business Phone Number: | 3044661767 |
Business Fax Number: | |
Mailing Address: | Hc 78 Box 46a, PIPESTEM |
State: | WV |
Postal Code: | 259799710 |
Phone Number: | 3044661767 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2008-2378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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. |