Provider Demographics
NPI:1356858054
Name:RIGALI, SHAUNA M (LMT)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:M
Last Name:RIGALI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HIGH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3739
Mailing Address - Country:US
Mailing Address - Phone:413-536-0142
Mailing Address - Fax:413-536-0607
Practice Address - Street 1:850 HIGH ST STE 2B
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3739
Practice Address - Country:US
Practice Address - Phone:413-536-0142
Practice Address - Fax:413-536-0607
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10892225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist