Provider Demographics
NPI:1174991426
Name:NAPOLI, ROSE (PTASSC MASSAGE THP)
Entity type:Individual
Prefix:MS
First Name:ROSE
Middle Name:
Last Name:NAPOLI
Suffix:
Gender:F
Credentials:PTASSC MASSAGE THP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 EARLE ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7623
Mailing Address - Country:US
Mailing Address - Phone:203-257-2359
Mailing Address - Fax:
Practice Address - Street 1:35 EARLE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-7623
Practice Address - Country:US
Practice Address - Phone:203-257-2359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003099225700000X
NY027966-1225700000X
RIMT01602225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist