Provider Demographics
NPI:1730290644
Name:WHITE, DENISE ANN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ANN
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:ANN
Other - Last Name:CAPPELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:225 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541-1518
Mailing Address - Country:US
Mailing Address - Phone:978-660-0436
Mailing Address - Fax:
Practice Address - Street 1:321A BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3064
Practice Address - Country:US
Practice Address - Phone:978-660-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist