Matrix Myofascial

NPI #1134647456 in Hadley, Massachusetts

Provider Information

NPI Number: 1134647456
Entity Type: Organization
Organization Name: Matrix Myofascial
Primary Specialty: Massage Therapist
Enumeration Date: Sep 7, 2017
Last Updated: Sep 7, 2017

Practice Location

Address: 187 RUSSELL ST
City: Hadley
State: Massachusetts
ZIP Code: 01035-9521
Phone: (413) 522-0658

Authorized Official

Name: MR. THEODORE NATHANIEL MOSER, LMT, CPMT II, CIMT
Title: CHIEF THERAPIST & CLINICAL DIRECTOR
Phone: (413) 522-0658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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