Provider Demographics
NPI:1396069316
Name:SAVARD, LEE (MUSCULAR THERAPIST)
Entity type:Individual
Prefix:MS
First Name:LEE
Middle Name:
Last Name:SAVARD
Suffix:
Gender:F
Credentials:MUSCULAR THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2605
Mailing Address - Country:US
Mailing Address - Phone:508-932-9797
Mailing Address - Fax:
Practice Address - Street 1:74 LONG POND RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2605
Practice Address - Country:US
Practice Address - Phone:508-932-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA776225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA776OtherNPI