Individual
TWYLA ATHERNA EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, CPT
Contact information
Practice address
212 CALVARY ST, WALTHAM, MA 02453
(781) 697-2364
Mailing address
212 CALVARY ST, WALTHAM, MA 02453-8366
(781) 697-2364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15024
MA
Other
Enumeration date
11/14/2017
Last updated
08/15/2018
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