Provider Demographics
NPI:1477328771
Name:PAZMANDY, ALEXANDRE (LMT, CPMT, CPMTA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:
Last Name:PAZMANDY
Suffix:
Gender:M
Credentials:LMT, CPMT, CPMTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 MAIN ST SUITE 34B
Mailing Address - Street 2:SUITE 34 B
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-362-5173
Mailing Address - Fax:
Practice Address - Street 1:39 MAIN ST SUITE 34B
Practice Address - Street 2:SUITE 34 B
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-362-5173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10425225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist