Provider Demographics
NPI:1528340809
Name:ARTHUR, TROY (LMT)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FALMOUTH RD
Mailing Address - Street 2:103 C
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3303
Mailing Address - Country:US
Mailing Address - Phone:508-801-1316
Mailing Address - Fax:
Practice Address - Street 1:800 FALMOUTH RD
Practice Address - Street 2:103 C
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3303
Practice Address - Country:US
Practice Address - Phone:508-801-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4589225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist