Stephanie Amanda Blaisdell, NCLMT is a
Massage Therapist based in Centerville, Massachusetts. Stephanie Amanda Blaisdell is licensed to practice in Massachusetts (license number 2197) and her current practice location is
63 Knotty Pine Ln, Centerville, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 776-2114.
NPI number for Stephanie Amanda Blaisdell is 1336575455 and her current mailing address is 63 Knotty Pine Ln, Centerville, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336575455.
Healthcare Provider's Profile
Full Name | Stephanie Amanda Blaisdell |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 63 Knotty Pine Ln, Centerville, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336575455
- Provider Enumeration Date: 09/20/2013
- Last Update Date: 09/20/2013
Medical Identifiers
Medical identifiers for Stephanie Amanda Blaisdell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336575455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2197 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Amanda Blaisdell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Amanda Blaisdell, NCLMT 63 Knotty Pine Ln, Centerville, MA 02632-2301 Ph: (508) 776-2114 | Stephanie Amanda Blaisdell, NCLMT 63 Knotty Pine Ln, Centerville, MA 02632-2301 Ph: (508) 776-2114 |
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