Provider Demographics
NPI:1568079200
Name:NERZIG, BABETTE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:BABETTE
Middle Name:
Last Name:NERZIG
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 1:63 EDDY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-2200
Mailing Address - Country:US
Mailing Address - Phone:508-974-5784
Mailing Address - Fax:
Practice Address - Street 1:10 BILLINGS ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2120
Practice Address - Country:US
Practice Address - Phone:508-975-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13410225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty