NPI 1982195327 · live from the CMS NPI Registry
David J De Sousa, LMT
Massage Therapist in Meredith, NH. National Provider Identifier 1982195327, active.
NPI record
| NPI | 1982195327 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 22 Upper Mile Point Rd, Wellness Center, Meredith, NH 03253 |
| Practice phone | 603-387-0950 |
| Mailing address | 12 Potting Bench Rd, Meredith, NH 03253 |
| Enumerated | May 22, 2018 |
| Last updated | May 22, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 4052 (NH) |
| Massage Therapist primary | 225700000X | 8782 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.