Doctor Name: | DEIDRE L. CLEVELAND |
NPI Number: | 1912219379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 2907M |
Business Practice Address: | 43b Birch St Suite 3g Derry, NH - 030382718 |
Business Phone Number: | 6036742486 |
Business Fax Number: | 6035379978 |
Mailing Address: | 43b Birch St, Suite 3g DERRY |
State: | NH |
Postal Code: | 030382718 |
Phone Number: | 6036742486 |
Fax Number: | 6035379978 |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2907M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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. |