Provider Demographics
NPI:1346681764
Name:MEYERS, CATHERINE E (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROCKWOOD HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1029
Mailing Address - Country:US
Mailing Address - Phone:978-473-6110
Mailing Address - Fax:
Practice Address - Street 1:222 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-1810
Practice Address - Country:US
Practice Address - Phone:978-473-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-14
Last Update Date:2013-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA817225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist