Provider Demographics
NPI:1861716706
Name:ALLEN, ASHERAH BARBARA (LIC AC, LMT)
Entity type:Individual
Prefix:MRS
First Name:ASHERAH
Middle Name:BARBARA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LIC AC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 RUSSELL ST.
Mailing Address - Street 2:P.O. BOX 613
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9595
Mailing Address - Country:US
Mailing Address - Phone:413-584-8484
Mailing Address - Fax:
Practice Address - Street 1:294 RUSSELL ST.
Practice Address - Street 2:P.O. BOX 613
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9595
Practice Address - Country:US
Practice Address - Phone:413-584-8484
Practice Address - Fax:413-584-8484
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1153225700000X
MA245815171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty