Provider Demographics
NPI:1629300157
Name:KATO FEELEY, MASAKO (LICAC)
Entity Type:Individual
Prefix:MRS
First Name:MASAKO
Middle Name:
Last Name:KATO FEELEY
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:MRS
Other - First Name:MASAKO
Other - Middle Name:
Other - Last Name:KATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICAC
Mailing Address - Street 1:228 TRIANGLE ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2169
Mailing Address - Country:US
Mailing Address - Phone:413-695-8123
Mailing Address - Fax:
Practice Address - Street 1:228 TRIANGLE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2169
Practice Address - Country:US
Practice Address - Phone:413-695-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist