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Individual

KATHLEEN IACOBACCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
551 WASHINGTON STREET, WEYMOUTH MASSAGE (AT NORTHEAST HEALTH & FITNESS), WEYMOUTH, MA 02188
(781) 985-0477
Mailing address
36 CARROLL ST, WEYMOUTH, MA 02189-1211
(781) 985-0477

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
878
MA

Other

Enumeration date
09/15/2017
Last updated
09/15/2017
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