NPI 1316224439

Matthew Perrello, LMP

Practitioner Massage Therapist Middlebury, VT

Practice location

Address: 152 Maple Street Suite 203, Middlebury, VT 05753
Phone: (802) 349-7565

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA60247265 (WA)

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Mechanotherapist

Other Service Providers Taxonomy 172M00000X Licence MA60247265 (WA)

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Registry record

NPI: 1316224439
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2011
Record last updated: 24 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.