Provider Demographics
NPI:1396402236
Name:TENPENNY, JOSHUA A (LCMT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:A
Last Name:TENPENNY
Suffix:
Gender:M
Credentials:LCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SIMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUBBARDSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01452-1124
Mailing Address - Country:US
Mailing Address - Phone:978-928-4198
Mailing Address - Fax:
Practice Address - Street 1:12 SIMOND HILL RD
Practice Address - Street 2:
Practice Address - City:HUBBARDSTON
Practice Address - State:MA
Practice Address - Zip Code:01452-1124
Practice Address - Country:US
Practice Address - Phone:978-928-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2282225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist