Organization

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)

Code

225700000X

Primary Taxonomy

Yes

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

Provider Address