Provider Demographics
NPI:1568107944
Name:JAMES, FRICA N (LMT)
Entity Type:Individual
Prefix:
First Name:FRICA
Middle Name:N
Last Name:JAMES
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 1:1 WASHINGTON MALL
Mailing Address - Street 2:1335, AT GOVERNMENT CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108
Mailing Address - Country:US
Mailing Address - Phone:857-246-8280
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON MALL
Practice Address - Street 2:#1335, AT GOVERNMENT CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108
Practice Address - Country:US
Practice Address - Phone:857-246-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-01
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8247-MT-MT225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8247-MT-MTOtherDEPARTMENT OF LICENSURE, BOARD OF REGISTRATION OF MASSAGE THERAPY