Provider Demographics
NPI:1124290796
Name:L'ABBE, TRICIA LEE (MMP, LCMT)
Entity type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:LEE
Last Name:L'ABBE
Suffix:
Gender:F
Credentials:MMP, LCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-49 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-4375
Mailing Address - Country:US
Mailing Address - Phone:978-394-2504
Mailing Address - Fax:
Practice Address - Street 1:47-49 CENTRAL STREET
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-4375
Practice Address - Country:US
Practice Address - Phone:978-394-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4632174400000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist