360 Neuromuscular Therapy, Llc
Massage Therapist in Waltham, MA(View on Map)
Legal Business Name
360 Neuromuscular Therapy, Llc
NPI Number
1700198306
NPI Type
Organization
Enumeration Date
07/12/2010
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
167
Contact
Information
Purpose
Mailing
Location
Address
1077 LEXINGTON ST STE 202
1077 LEXINGTON ST STE 202
City
Waltham
Waltham
State
MA
MA
Postal Code
02452-7233
02452-7233
Country
US
US
Telephone Number
(781) 444-3609
(781) 444-3609
Authorized Official
Name
Ms. Lisa Erickson Gorman
Title or Position
CO-OWNER
Telephone Number
(781) 444-3609
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/22/2019