Provider Demographics
NPI:1063741155
Name:VOLLMUTH, DENIS CHAFFEE (RPT/LMT)
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:CHAFFEE
Last Name:VOLLMUTH
Suffix:
Gender:F
Credentials:RPT/LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 W CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1833
Mailing Address - Country:US
Mailing Address - Phone:508-455-4600
Mailing Address - Fax:
Practice Address - Street 1:345 W CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1833
Practice Address - Country:US
Practice Address - Phone:508-455-4600
Practice Address - Fax:508-302-6468
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4592225700000X
MA2438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist