Provider Demographics
NPI:1811590953
Name:TOUSSAINT, DAYMEN (LMT)
Entity Type:Individual
Prefix:
First Name:DAYMEN
Middle Name:
Last Name:TOUSSAINT
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 TURKEY HILL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9032
Mailing Address - Country:US
Mailing Address - Phone:413-323-1115
Mailing Address - Fax:413-650-5548
Practice Address - Street 1:1643 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3132
Practice Address - Country:US
Practice Address - Phone:413-437-8550
Practice Address - Fax:413-650-5548
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10399225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist