360 Neuromuscular Therapy, LLC
NPI #1700198306 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1700198306
- Entity Type
- Organization
- Organization Name
- 360 Neuromuscular Therapy, LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jul 12, 2010
- Last Updated
- Feb 22, 2019
Practice Location
- Address
- 1077 LEXINGTON ST STE 202
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02452-7233
- Phone
- (781) 444-3609
Authorized Official
- Name
- MS. LISA MARIE ERICKSON GORMAN, CNMT, CMTPT
- Title
- CO-OWNER
- Phone
- (781) 444-3609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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