Individual
TARA SHEWCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
80 CENTER SQ, EAST LONGMEADOW, MA 01028-2449
(413) 353-3361
Mailing address
14 APPLE HILL RD, WILBRAHAM, MA 01095-2614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16963
MA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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