Organization
THERAP-EASE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL IANNUCCI (PRESIDENT/CEO)
(508) 830-0911
Entity
Organization
Contact information
Practice address
121 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360
(508) 830-0911
(508) 830-0911
Mailing address
121 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7242
(508) 830-0911
(508) 830-0922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536508
—
MA
01
—
290854
BCBS PROVIDER NUMBER
MA
Enumeration date
06/03/2006
Last updated
02/17/2022
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