Provider Demographics
NPI:1033933262
Name:COVE, JOY LYNN (LMT, CMLDT)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LYNN
Last Name:COVE
Suffix:
Gender:F
Credentials:LMT, CMLDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 FAIRHILL DR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2332
Mailing Address - Country:US
Mailing Address - Phone:413-348-5011
Mailing Address - Fax:
Practice Address - Street 1:36 FAIRHILL DR
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2332
Practice Address - Country:US
Practice Address - Phone:413-348-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist