Provider Demographics
NPI:1578710109
Name:CRANE, TANSY H (LIC AC)
Entity Type:Individual
Prefix:MS
First Name:TANSY
Middle Name:H
Last Name:CRANE
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1904
Mailing Address - Country:US
Mailing Address - Phone:413-781-8900
Mailing Address - Fax:413-781-6200
Practice Address - Street 1:4 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1904
Practice Address - Country:US
Practice Address - Phone:413-781-8900
Practice Address - Fax:413-781-6200
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234468171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist