DALE A TUCCELLI (NPI# 1497368492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497368492 |
Entity Type | Individual |
Full Name | DALE A TUCCELLI |
Practice Address |
58 Range Rd Ste R03 Windham NH 03087-2026 |
Mailing Address |
168 Walton Rd Unit 58 Seabrook NH 03874-4500 |
Practice Telephone | 6038980030 |
Practice Fax Number | 6038946343 |
Mailing Telephone | 7819747929 |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 7878 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | FED TAX ID | 020468793 | 01 |
Street Address |
58 RANGE RD STE R03 |
City | WINDHAM |
State | NH |
Zip Code | 03087-2026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447627781 | Benjamin Paul Sherr | Physical Therapist | 32 Indian Rock Road, Unit 5, Windham, NH 03087 | 2015-08-21 |
1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
1235412750 | Julie M Ferry | Physical Therapist | 3 Church Road, Windham, NH 03087 | 2011-09-21 |
1821308867 | Emlee Paige Betts | Counselor | 46 Lowell Road, Unit 7, Windham, NH 03087 | 2010-10-08 |
1851531784 | Serena J Verolla | Nurse Practitioner | 58 Range Rd Ste R-05, Windham, NH 03087 | 2009-03-05 |
1619198009 | Katherine Ann Hebert Smith | Occupational Therapist | 3 Industrial Drive, Unit 1, Windham, NH 03087 | 2007-05-01 |
1164558532 | Windham Dental Center | Dentist | 25 Indian Rock Road, Suite One, Windham, NH 03087 | 2007-02-27 |
1013079862 | Lisa Marie Hatzos | Internal Medicine | 127 Rockingham Road, Suite 103 Elliot Peak Internal Medicine At Windham, Windham, NH 03087 | 2006-12-15 |
1669578571 | Aimee Murray | Physician Assistant | 49 Range Rd Ste 104, Windham, NH 03087 | 2006-09-16 |
1902852262 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 43 Indian Rock Rd, Windham, NH 03087 | 2006-05-26 |
Find all providers in zip 03087 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880754 | Amanda Mae Thomes | Massage Therapist | 936 Roosevelt Trl Ste 2, Windham, ME 04062-5652 | 2020-01-14 |
1043712169 | Siobhan Marie Raymond | Massage Therapist | 936 Roosevelt Trl Unit 2, Windham, ME 04062-5652 | 2018-03-05 |
1881138519 | Dianne Jezak | Massage Therapist | 16 Londonderry Rd, Windham, NH 03087-1651 | 2016-12-14 |
1174914709 | Julia Antonia Donaldson | Massage Therapist | 9 Frog Pond Rd, Windham, ME 04062-6800 | 2015-02-18 |
1669738860 | Lynn Priest | Massage Therapist | 824 Roosevelt Trl, Suite 5, Windham, ME 04062-5370 | 2012-04-02 |
1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
1609034289 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trl, Windham, ME 04062-5206 | 2008-05-30 |
1053428151 | Clifford W Korn | Massage Therapist | 87 Indian Rock Road, Windham, NH 03087-1656 | 2006-08-24 |
1023515145 | Monica Doble | Massage Therapist | 60 Rockingham Rd Unit 10, Windham, NH 03087-1343 | 2018-04-06 |
1295011849 | Katie A Stangel | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2011-10-27 |
Find all providers in WINDHAM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.