Provider Demographics
NPI:1255228128
Name:NEMETH, DAMIAN ORION (LMT)
Entity type:Individual
Prefix:
First Name:DAMIAN
Middle Name:ORION
Last Name:NEMETH
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHAPIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1501
Mailing Address - Country:US
Mailing Address - Phone:617-470-1382
Mailing Address - Fax:617-470-1382
Practice Address - Street 1:21 CHAPIN ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1501
Practice Address - Country:US
Practice Address - Phone:617-470-1382
Practice Address - Fax:617-470-1382
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8757225700000X
MA783355225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist