Provider Demographics
NPI:1528793601
Name:MEI, SEAN SR (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:MEI
Suffix:SR
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-3606
Mailing Address - Country:US
Mailing Address - Phone:781-888-5970
Mailing Address - Fax:
Practice Address - Street 1:32 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-3606
Practice Address - Country:US
Practice Address - Phone:781-888-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14782225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty