Provider Demographics
NPI:1730753997
Name:MARINO, ALLISON (LMT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MARINO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ASHER
Other - Middle Name:
Other - Last Name:MARINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:247 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2725
Mailing Address - Country:US
Mailing Address - Phone:413-281-9360
Mailing Address - Fax:
Practice Address - Street 1:6 HATFIELD ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-1556
Practice Address - Country:US
Practice Address - Phone:413-549-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10340-MT225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty