Provider Demographics
NPI:1255042412
Name:CAPOZZI, ARTHUR F III (LMT, NASM)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:F
Last Name:CAPOZZI
Suffix:III
Gender:M
Credentials:LMT, NASM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5306 STEARNS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7107
Mailing Address - Country:US
Mailing Address - Phone:617-470-1332
Mailing Address - Fax:
Practice Address - Street 1:681 MAIN ST STE 2-18
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-0633
Practice Address - Country:US
Practice Address - Phone:617-470-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16552225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist