Individual provider · Type 1 NPI
Susanne Lane, MASSAGE THERAPIST
Specialist · Brockton, MA
NPI number
1710156914
Active
Practice location
471 Prospect St
Brockton, MA 02301-2534
Fax (508) 580-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | NA (MA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1710156914
Susanne Lane, MASSAGE THERAPIST's National Provider Identifier is 1710156914, issued on Feb 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Feb 21, 2008.