Individual
COURTNEY DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SHORE DR STE 104, WORCESTER, MA 01605-3154
(508) 853-7500
(508) 853-7505
Mailing address
102 SHORE DR STE 104, WORCESTER, MA 01605-3154
(508) 853-7500
(508) 853-7505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16295
MASSAGE THERAPY LICENSE
MA
Enumeration date
05/09/2019
Last updated
05/09/2019
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